ESICM ANNUAL REPORT 2018-2019 CONTENTS

I. Introduction by the President & President-Elect...... 5

II. About ESICM...... 6

1. Who we are...... 8 Objectives...... 8 Aims & Missions...... 8 ESICM elects newleadership...... 9 2. Organisational Structure...... 10 National Societies...... 10 Council...... 11 3. Membership...... 14

III. Actvities of the ESICM Division Of Scientific Affairs...... 16

Introduction...... 19 1. ESICM Annual Congress & LIVES Forum...... 20 LIVES...... 20 A retrospective look at LIVES 2018...... 21 2. ESICM Research...... 24 Report on the Research Committee...... 24 Acute Kidney Injury...... 27 ARF Section...... 28 CD section...... 28 ETH section...... 30 HSRO section...... 31 Infection section...... 32 NIC section...... 33 POIC section...... 34 MEN section...... 36 SIS section...... 38 TEM section...... 39 Gobal Intensive Care Working Group...... 39

IV. Activities of the ESICM Division of Professional Development...... 40

1. DPD...... 42 2. Communication Committee...... 45 The ESICM Annual Report describes ESICM activities from October 2018 to October 2019. V. NEXT...... 46 Only the Treasurer’s Report refers to the fiscal year from 1st January 2018-2019. VI. N&AHP...... 52

VII. ICM & ICM X Journals...... 56

VIII. Treasurer’s Report...... 62

IX. Key events 2020...... 68

X. Get more from your Society...... 74 ESICM ANNUAL REPORT 2018-2019 Introduction by the President & President-Elect Dear Colleagues

Introduction by the President and President Elect We would like to begin this annual report by thanking all our members for helping us shape the Society that we are proud to represent on their behalf. It is almost one year since we launched the Society’s Fund, ALIVE, and the Society, along with the generous support of GE Health Care, has successfully embarked on a training programme in countries of low and middle income. Working closely with the Global Intensive Care (GIC) Working Group, the Society has designed a first course, written and delivered by members of Jozef Kesecioglu & Maurizio Cecconi the GIC Working Group. As the majority of deaths in these parts of the world are from acute infectious diseases and sepsis, the content covered An additional, new-style Forum, will take place next February in Prague, the management of sepsis and included bedside clinical teaching. 42 with a focus on the key physiology concepts required to manage complex health care workers in Uganda benefitted from the two-day training in and real cases. Our regular Summer Forum will be in Dublin next May Kampala in June, which involved local and visiting faculty. and addresses septic shock. The ALIVE sepsis course will be taken to Pakistan in November 2019 and Closer integration of our N&AHP has been a long-term target for some Mongolia in May 2020. Content from the course’s 16 modules will also be time and there are now multi-professional representatives engaged in made available online and hosted on the Academy platform. We are very six of our Master Classes as part of the faculty and N&AHP attend the confident that the Fund will grow steadily and support more educational Master Classes courses in encouraging numbers. programmes in countries confronting sepsis around the world. A blended learning course on Critical Care Rehabilitation was offered to The Society took a major step forward tackling diversity inequalities in N&AHP members this year, who could connect online and come together Intensive Care. We also established The Diversity Task Force that has in Berlin for the concluding face-to-face workshop held at LIVES. worked on analysing issues and promoting solutions. AppIC has now been translated into five different languages – English, Not long after last year’s congress in Paris, the Society’s Diversity Task French, Spanish, Italian and Greek and a number of articles and topics Force Statement Paper on diversity and equality was published in the added. Plans are in place to integrate part of the content on the Society’s ICM journal. This paper outlined a one- and three-year plan aiming at eLearning platform. the identification of potential gaps and an implementation of concrete Along with our regular webinars and live debate style webinars, our projects for members of the ESICM. Diversity-related data available portfolio of Master Classes has grown, with several new courses created from the membership database was analysed and included in the report this year. Many of our educational products attract industry support and in aggregated form. receive accreditation points. A major achievement and cause for celebration this year was the new The European Society of Paediatric and Neonatal Intensive Care (ESPNIC) impact factor of our official journal, ICM, which has reached 18.967, decided earlier this year to become more autonomous and to manage its ranking it second out of 33 medical journals in the critical care category own membership and finances. This means that we are now two separate, and the most highly-ranked journal in this category entirely devoted to independent societies. We are very glad to see from our membership critical care. records that we have retained most of our paediatric members. Already being listed in the Emerging Sources Citation Index (ESCI) and in ESICM, despite its focus on adult intensive care, will carry on supporting ‘Web of Science’, the journal now has higher visibility and greater citation activities aiming at improving adult and pediatric intensive care in potential. conjunction with the Society of Critical Care Medicine (SCCM). Our two Being now on an emerging impact factor list, it is very likely that ICM Societies have combined efforts to give the Surviving Sepsis Campaign experimental will receive a 2019 impact factor in 2020. The journal has (SSC) their strength and support. grown from strength to strength under the leadership of its previous Our contacts with our sister organisation, SCCM, further strengthened Editor-in-chief, Mervyn Singer, and the current Editor-in-Chief, Peter this year when we hosted the President and President elect in Brussels Radermacher. for two days in March. This opportunity provided a relaxed format for The decision was taken earlier this year to create a new Section to a most productive meeting, leading to new collaborations, and this was study Data Science, Big Data and Artificial Intelligence, and the future reciprocated in July at the SCCM’s headquarters in Chicago. challenges and technological changes affecting intensive care medicine. We are expanding our public affairs and presence in Brussels, This Data Science Section will involve intensivists, data scientists and participating and collaborating with other medical associations. Along academic partners. Ari Ercole, a consultant at the Neurosciences with the other partners of the European Society of Anaesthesiology (ESA), Critical Care Unit, University of Cambridge Hospitals Trust, UK, has been we are co-authoring a consensus statement on a common patient safety nominated to lead the Section with Paul Elbers, an intensivist at the approach to perioperative care and endorsing and participating in the Amsterdam University Medical Centres (UMC), as his deputy. 2020 Patient Safety Policy Summit next March in Brussels. Interest in the topic was reflected in the numbers of multidisciplinary ESICM is also part of the Biomedical Alliance - which supports biomedical teams who attended the very first ESICM Big Data Talk and Critical Care and clinical research and fosters health research in the EU. ESICM Datathon in Milan in February of this year. The Milan event, organised representatives attend its regular meetings, including the Medical Device by ESICM in collaboration with the University Humanitas University Update Regulation Task Force. and engineering University PoliMi, with the Massachussets Institute As you can see, we have had a busy and fruitful twelve months, but none of Technology, Boston (USA) was a major success with more than of these activities and achievements would be possible without the hard- 400 participants from all around the world. The goal was to promote work and support of the Executive Committee, the Council, our Sections collaboration between ICU professionals and Data Scientists and the and Committees, our officers, authors and reviewers, and our ESICM development of Data Science in our specialty. members, who devote precious time and energy on behalf of the Society. The event saw two parallel tracks with plenary sessions. In the Datathon As an organisation representing a unique profession, we have a strong track, teams of clinicians and data scientists competed in a friendly presence throughout the world and a reputation that has evolved with the environment challenging each other to investigate clinical questions help of many. We thank each and every one of you for what has been an using large datasets of electronic health records. The Big Data Talk undoubted success this year. ”As an organisation representing a unique brought experts and participants together to discuss this growing topic. This is now an annual event and the Society’s Data Science Section will be Prof. Jozef Kesecioglu Prof. Maurizio Cecconi profession, we have a strong presence and involved in next February’s meeting. ESICM President ESICM President elect EuroAsia 2019 attracted a record 556 participants this year and an equally reputation throughout the world”. impressive number of abstracts. We will continue our networking events 5 in Asia and more information about next year’s location will follow shortly. 6 Introduction by the President & President-Elect About ESICM Who we are ABOUT ESICM_ Organisational Structure Membership Activities of the ESICM: Division Of Scientific Affairs Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2020 Get more from your Society ESICM ANNUAL REPORT 2018-2019 About ESICM 1. Who we are The European Society of Intensive Care Medicine is an association of individual persons and the voice of intensivists across Europe.

The Society was founded in March 1982 in Geneva, ESICM elects new leadership_ National Representatives - Regions Switzerland and is a non-profit international association. Asia Pacific: Tapas SAHOO ESICM has over 9,000 members worldwide, spanning 121 All officers of the ESICM, regardless of their position, Central & South America: Flavio E. NACUL countries and comprising a diverse group of highly-trained provide their effort and time on a completely voluntary basis. professionals who provide care in specialised care units Elections took place in 2018 for the following positions. We Examinations Committee and work towards the best outcome possible for seriously welcome all those elected and look forward to working with Janne LIISANANTTI (Finland) ill patients. them to advance the effectiveness of our Society. Clinical Training Committee Objectives_ Executive Committee Dolores MATEO (United Kingdom) President Elect: Maurizio CECCONI (Italy) Stephen SHEPHERD (United Kingdom) ESICM supports and promotes the advancement of Secretary: Lui FORNI (UK) knowledge in intensive care medicine, in particular the Treasurer: Jean-Louis TEBOUL (France) NEXT Committee promotion of the highest standards of multidisciplinary care Silvia DE ROSA (Italy) of critically ill patients and their families through education, Congress Committee Laura GALARZA (Spain) research and professional development. Chairperson ARF: Jorge MANCEBO (Spain) Massimiliano GRECO (Italy) Chairperson INF: Pedro POVOA (Portugal) Beatriz LOBO VALBUENA (Spain) Maria VARGAS (Italy) Aims and Missions_ Chairperson MEN: Mette BERGER (Switzerland) Chairperson SIS: Ricard FERRER ROCA (Spain) • To promote and coordinate activities in the different Research Committee fields of intensive care medicine Deputy Chair INF: Andrew CONWAY (United Kingdom) • To foster research and education in these fields • To provide recommendations for optimising facilities National Representatives – Countries for intensive care medicine in Europe Belgium: Patrick BISTON • To organise and coordinate international congresses Germany: Roland FRANCIS and meetings Greece: Vasileios BEKOS Israel: Peter VAN HEERDEN Our Pledge _ Norway: Nicholas BARLOW Portugal: Sofia ESCORCIO We are continuing to grow and strengthen and provide our Spain: José A LORENTE members with more and more opportunities to learn, participate Turkey: Tughan UTKU in research programmes and clinical trials and to mobilise. United Kingdom: Julia A WENDON

9 10 ESICM ANNUAL REPORT 2018-2019 About ESICM 2. Organisational Structure ESICM has a reciprocal arrangement for dual membership with 74 national societies.

We ensure that all members and sub specialities are Care Medicine • MSA: Macedonian Society of Anesthesia • SOCHIMI: Sociedad Chilena de Medicina Intensiva represented appropriately and that our national societies • DGAI: Deutsche Gesellschaft fur Anasthesiologie und • NAF: Norwegian Society of Anaesthesiology • SOCMIC: Catalans Intensive Care Association are given support and adequate say in the running of the Intensivmedizin • NCS: Neurocritical Care Society • SOPEMI: Sociedad Peruana de Medicina Intensiva Society. New societies keep joining and we have entered • DGIM: Deutsche Gesellschaft fur Innere Medizin • NVA: Nederlandse Vereniging voor Anesthesiologie • SPCI: Sociedade Portuguesa Cuidados Intensivos into partnerships to co-host joint events with several of our • DIVI: Deutsche Interdisziplinare Verenigung fur Intensiv- • NVIC: Nederlandse Vereniging voor Intensive Care • SRLF: Société de Réanimation de Langue Française national members. und Notfallmedizin • OEGARI: Österreichischen Gesellschaft für • SSICM: Serbian Society of Intensive Care Medicine • DSIT: Danish Society of Intensive Care Therapy Anästhesiologie, Reanimation und Intensivmedizin • SSIM: Slovenian Society of Intensive Medicine National Societies_ • ECCCP: Egyptian College of Critical Care Physicians • OEGIAIM: Austrian Society of Medical and General • TARD: Turkish Society of Anesthesiology and Reanimation • EICS: Emirates Intensive Care Society Intensive Care Medicine • TSCCM: Taiwan Society of Critical Care Medicine • AAI: Association of Anesthesiologists-Intensivists • ESA: Estonian Society of Anaesthesiologists • PTAilT: Polish Society of Anaesthesia & Intensive Therapy • TSIC : Turkish Society of Intensive Care (Russia) • ESCCEM: Egyptian Society of Critical Care and • SAAI: Serbian Association of Anaesthesiologists & • TSMSICM: Turkish Society of Medical and Surgical • ACCMG: Association of Critical Care and Catastrophe Emergency Medicine Intensivits Intensive Care Medicine Medicine of Georgia • FAR: Russian Federation of Anesthesiologists and • SARRM: Society of Anaesthesia & Reanimatology of the • VNACCEMT: Vietnam Association of Emergency Critical • AMCI: Asociación Colombiana de Medecina Critica y Reanimatologists Republic of Moldova Care Medicine and Medical Toxicology Cuidado Intensivo • FSIC: Finnish Society of Intensive Care • SATI: Sociedad Argentina de Terapia Intensiva • WICS: The Welsh Intensive Care Society • AMIB: Associação de Medicina Intensiva Brasileira • GSACCM: Georgian Society of Anaesthesiology & Critical • SCCS: The Saudi Critical Care Society • ANZICS: Australian and New Zealand Intensive Care Care Medicine • SECCM: Society of Emergency & Critical Care Medicine, • HDIM: Croation Society of Intensive Care Medicine Taiwan, R.O.C. Society Council _ • APMCTI: Asociación Panameña de Medicina Critica y • HSIC: Hellenic Society of Intensive Care • SEDAR: Sociedad Espanola de Anestesiologia, Terapia Intensiva • ICS: Intensive Care Society Reanimacion y Terapeutica del Dolor The Council is the governing body and assigns the Executive • BSA: Bulgarian Society of Anaesthesiologists • ICSI: Intensive Care Society of Ireland • SEMICYUC: Sociedad Espanola de Medicina Intensiva, Committee, comprising the President, President Elect, • CCCS: Canadian Critical Care Society • ISAICM: Icelandic Society of Anaesthesiology & Intensive Critica y Unidades Coronarias Secretary General and Treasurer, with the daily management • COCECATI: Consorcio Centroamericano y del Caribe de Care Medicine • SFAI: Swedish Society of Anaesthesiology & Intensive of the organisation. The operating body is formed by the Terapia Intensiva • ISCCM: Indian Society of Critical Care Medicine Care Medicine different committees and sections that enable interested • CSARIM: Czech Society of Anaesthesiology, Resuscitation • ISCCM: Israel Society of Critical Care Medicine • SFAR: Société Française d’Anesthésie et de Réanimation volunteers to play an active role in shaping current and & Intensive Care • JSICM: Japanese Society of Intensive Care Medicine • SGI-SSICM: Swiss Society of Intensive Care Medicine future ESICM initiatives. • CSCCM: Chinese Society of Critical Care Medicine • KSCCM: Korean Society of Critical Care Medicine • SIAARTI: Societa Italiana di Anestesia Analgesia Each section is assigned a set of responsibilities and tasks • CSICM: Cyprus Society of Intensive Care Medicine • LCCS: Lebanese Critical Care Society Rianimazione e Terapia Intensiva associated with the different activities of the ESICM and the • CSIM: Czech Society of Intensive Care Medicine • LSAIC: Lithuanian Society of Anaesthesiology & Intensive • SICM: Society of Intensive Care Medicine (Singapore) reports from the Chairpersons of the different sections can • CroSEMIC: Croatian Society of Emergency Medicine and Care • SICS: Scottish Intensive Care Society be found in Chapters III & IV. Medical Intensive Care of Croatian Medical Association • MAITT: Hungarian Society of Anaesthesiology & Intensive • SIZ: Belgian Society of Intensive Care Medicine • DASAIM: Danish Society of Anaesthesiology & Intensive Care Therapy • SLAR: Société Libyenne d’Anesthésie et de Réanimation

11 12 ESICM ANNUAL REPORT 2018-2019 About ESICM

EXECUTIVE COMMITTEE_ NATIONAL COUNCIL REPRESENTATIVES_

JOZEF KESECIOGLU MAURIZIO CECCONI LUI FORNI JEAN-LOUIS TEBOUL ARMAND GIRBES PASCALE GRUBER JAN DE WAELE PETER FAYBIK PATRICK BISTON HYNEK RIHA MORTEN BESTLE JARMO STEPANI BRUNO LEVY ROLAND FRANCIS BENDEL President President-Elect Secretary Treasurer Chair of the Division Chair of the Division of Chair of the Research Austria Belgium Czech Republic Denmark France Germany of Scientific Affairs Finland Netherlands Italy United Kingdom France Professional Development Committee Netherlands United Kingdom Belgium

NICHOLAS BARLOW VASILEIOS BEKOS CSABA HERMANN GERARD FITZPATRICK PETER VAN HEERDEN GIACOMO GRASSELLI DIRK VERSLUIS Greece Hungary Ireland Israel Italy Netherlands Norway JACQUES DURANTEAU BJÖRN WEISS CAROLE BOULANGER GIUSEPPE CITERIO MASSIMO ANTONELLI JOËL ALEXANDRE Chair of the Editorial & Chair of the NEXT Chair of the N&AHP Editor-in-Chief, Past-President Chief Executive Officer Publishing Committee Committee Committee Intensive Care Medicine Italy Belgium France Germany United Kingdom Italy

SENATE_ STANISLAW ZIELINSKI SOFIA ESCORCIO IOANA GRIGORAS SERGEY PETRIKOV MAJA SURBATOVIC SERGEJA KOZAR JOSÉ A LORENTE Poland Portugal Romania Russia Serbia Slovenia Spain

PETER SUTER MAURICE LAMY LUCIANO GATTINONI IAIN LEDINGHAM JEAN-LOUIS VINCENT LAMBERT G THIJS ✝ JEAN CARLET TUGHAN UTKU JULIA WENDON Switzerland Belgium Italy United Kingdom Belgium Netherlands France CHRISTINA MARCUS LAUBE AGVALD-OHMAN Switzerland Turkey United Kingdom 1982-1986 1986-1988 1988-1990 1990-1992 1992-1994 1994-1996 1996-1998 Sweden

HILMAR BURCHARDI JUKKA TAKALA GRAHAM RAMSAY ✝ JULIAN BION MARCO RANIERI RUI MORENO ANDREW RHODES INTERNATIONAL COUNCIL REPRESENTATIVES_ Germany Switzerland United Kingdom United Kingdom Italy Portugal United Kingdom 1998-2000 2000-2002 2002-2004 2004-2006 2006-2008 2008-2010 2010-2012

JEAN-DANIEL CHICHE DANIEL DE BACKER MASSIMO ANTONELLI TAPAS SAHOO FLAVIO NACUL MASSIMO LAMPERTI ROBERT STEVENS France Belgium Italy Asia-Pacific Central & South Middle East North America 2012-2014 2014-2016 2016-2018 America

13 14 ESICM ANNUAL REPORT 2018-2019 About ESICM

CONGRESS COMMITTEE_ RESEARCH COMMITEE_

MARLIES OSTERMANN LUIGI CAMPOROTA JAN BAKKER CHRISTIANE HARTOG MICHELLE CHEW ANDREW CONWAY ARMAND GIRBES ERIC HOSTE JORGE MANCEBO THOMAS SCHEEREN RIK GERRITSEN DYLAN DE LANGE PEDRO POVOA JAN DE WAELE AKI ARF CD ETH MORRIS Chair of the Division AKI ARF CD ETH HSRO INF Chair of the Research HSRO Committee United Kingdom Italy Netherlands Germany Sweden INF of Scientific Affairs Belgium Spain Netherlands Netherlands Netherlands Portugal United Kingdom Netherlands Belgium

Valentin FUHRMANN CHIARA ROBBA AARNE FELDHEISER MASSIMO GIRARDIS CLAUDIO SANDRONI PASCALE GRUBER ARMAND GIRBES MEN NIC POIC SIS TEM Chair of the Education RICARD FERRER KJETIL SUNDE JOHANNES MELLINGHOFF JAN DE WAELE Chair of the Congress METTE BERGER FABIO TACCONE IB JAMMER Germany Italy Germany Italy Italy & Training Commitee SIS TEM N&AHP Representative Committee MEN NIC POIC Chair of the Research United Kingdom Switzerland Belgium Norway Spain Norway United Kingdom Committee Netherlands Belgium

STIJN BLOT LARA GALARZA BURCIN HALACLI STEFAN SCHALLER N&AHP Representative NEXT Deputy Chair NEXT Representative Next Representative Belgium Spain Turkey Germany

PASCALE GRUBER BJÖRN WEISS GENNARO DE PASCALE Chair of the Education & Chair of the NEXT NEXT Representative Training Committee Committee Italy United Kingdom Germany NEXT COMMITTEE_

EDUCATION AND TRAINING COMMITTEE_

BJÖRN WEISS LARA GALARZA BERNARDO BOLLEN MANUEL MENDOZA GENNARO DE PASCALE STEFAN SCHALLER VICTORIA BENNETT NEXT Chair NEXT Deputy Chair PINTO RUANO NEXT Member NEXT Member NEXT Member Germany Spain NEXT Member NEXT Member Italy Germany United Kingdom Switzerland Spain

PASCALE GRUBER ARMAND GIRBES CHRISTIAN SITZWOHL JACOBUS PRELLER FRANTISEK DUSKA IGNACIO MARTIN LOECHES JACQUES DURANTEAU Chair of the Division of Chair of the Congress Chair of the Examinations Chair of the Chair of the Clinical Chair of the COBA Chair of the Editorial & Professional Development Committee Committee e-Learning Committee Training Committee Faculty Publishing Committee United Kingdom Netherlands Austria United Kingdom Czech Republic Ireland France

CHRISTINA SANTONICITO PAUL ABRAHAM BRIJESH PATEL BEATRIZ LOBO CHARLOTTE MARIA VARGAS MASSIMILIANO GRECO NEXT Member NEXT Member NEXT Member VALBUENA VAN DEN BERG NEXT Member NEXT Member Italy France United Kingdom NEXT Member NEXT Member Italy Italy Spain Netherlands

BEATRIZ LOBO SILVIA CALVINO SILVIA DE ROSA VALBUENA GUNTHER N&AHP NEXT Representative N&AHP Representative Spain Representative Italy BURCIN HALACLI SILVIA DE ROSA RAHUL COSTA - PINTO France NEXT Member NEXT Member International Turkey France Representative

15 16 ESICM ANNUAL REPORT 2018-2019 About ESICM

Report by Lui Forni, General Secretary Under his stewardship, the Task Force has made great strides from a long overdue ideal to reality. andJoël Alexandre, Chief Executive Officer Although there is still some way to go, we will meet again When asked to produce reflections like this, I find it useful in Berlin to ratify the ethical code of conduct for officers of to refresh myself as to the mission statement of our the Society, another positive step forward. I am determined Society and to ensure, as your General Secretary, that we that the Society should not be viewed as paying lip service to remain true to our principles. For those of you who need such guidelines, but will champion them in all aspects of our OFFICE STAFF_ reminding, the aims of our society are: activities, evolving into an organisation that truly values all its members. Indeed, signs of change are already evident in the • To promote and coordinate activities in the composition of this year’s congress, with the faculty being different fields of intensive care medicine more diverse in terms of both age, gender and inclusivity in • To foster research and education the programme. • To provide recommendations and guidelines • To organise and coordinate international congresses As well as promoting ourselves from within, we are increasing and meetings. our collaboration with other European and international societies, including the ESA, the Biomedical Alliance, the So, can I satisfy myself, as Secretary, that we are delivering Global Sepsis Alliance, and the national societies in Asia with these? I would say “yes”, and so much more! The ESICM whom we hold the EuroAsia conference, as well as fostering JOËL ALEXANDRE continues to support and promote the advancement of our relationship with the SCCM. We, as a Society, are much Chief Executive Officer knowledge in intensive care medicine, promoting the stronger and visible as a result. So, I do believe that I can say Belgium highest standards of multidisciplinary care of critically ill to you, our members of over 9,000 critical care specialists, patients and their families through the three basic pillars that we do hold to the principles of our Society, but also expand upon them, continuing to evolve into a Society we can DIVISION OF ADMINISTRATIVE AFFAIRS that underpin our society: namely education, research and professional development. all be proud of.

The numerous events we promote, support and sponsor As with any organisation, individuals come and go and continue to grow. Webinars, Master Classes, Fellowships over the last 12 months, both Sherry Scharff (well-known and eLearning modules, as well as our annual congress are and remembered fondly to many of you, I am sure) has left all aimed at fostering the different fields and activities within the ESICM office. As has Elise Maquestiaux. We all wish our speciality. Indeed, our Academy currently offers a total them well for their new ventures. We also welcome Sara of 53 eLearning courses, as well as being a platform for other VanLerberghe, who has recently joined us as Education and CELIA MCCLEMENTS HORIA FTOUH NICOLAS VANDER ELST STEPHANO RIDOLFI Administrative Assistant. Starting in November, we will have Executive Assistant Accounting Membership Video Editing education tools, supporting 9 online support classrooms & Communications Belgium Belgium Belgium for Master Classes; two industry-supported courses, two a new colleague joining the Congress department. Belgium diploma preparation courses, two pathways and one ALIVE course. Last, but not least, we are very proud of our Secretariat and ESICM CEO, Joel Alexandre, who received the Gold Award for DIVISION OF SCIENTIFIC AFFAIRS In terms of our e-Courses, these have been submitted to the Association Leadership at the European Association Awards UEMS for accreditation and have been approved. Our Master (EEA) 2019. This award recognises the professionalism and Class programme also goes from strength to strength, and quality of work carried out by the ESICM team under his this year we are launching, in Berlin, a two-year learning direction, we would like to take this opportunity to thank all pathway, for which over 1,000 participants have expressed the staff for this achievement an interest.

Furthermore, we are commencing our POCUS project, Lui Forni Joël Alexandre CINDY MARTINEZ ELISE MAQUESTIAUX GUY MARIE FRANÇOIS SHERIHANE BENSEMMANE given that ultra sound is now a mandatory competency ESICM General Secretary ESICM Chief Exective Officer Congress Congress Research Research in critical care, and this lends itself well to the Society’s Belgium Belgium Belgium Belgium existing platforms. It will also flourish, given the current expertise within the Society, and the current, ever-popular EDEC courses. Learning resources will be developed for this project that will utilise the Academy, Master Classes and DIVISION OF PROFESSIONAL DEVELOPMENT webinars. The plan is that competencies can be agreed for a core CCUS that can be fed into CoBaTrICE for development, ultimately working towards a curriculum and accreditation pathway without encroaching on the EDEC diploma.

However, I would say that in the last few years we have gone further than that and taken strides to address other issues regarding the Society and reflecting our member base, DOMINIQUE DE BOOM ESTELLE PASQUIER MELANIA ISTRATE SARA VAN LERBERGHE ensuring fair and just access to all. From this desire, the Professional Development Professional Development Education & Learning Office & Congress Assistant Belgium Belgium Diversity Task Force has published its guidelines in intensive care medicine, drawing a line in the sand from which we can now progress. A special mention here for Bjorn Weiss.

17 18 ESICM ANNUAL REPORT 2018-2019 About ESICM 3. Membership A constantly growing network of members

Our 9,000 global community of intensivists and allied health As well as these very practical benefits, members can Here are 13 other good reasons to become an ESICM member_ practitioners all benefit from the numerous advantages also get involved by joining specialist groups and sections, ESICM membership offers: fellowships and mentoring, and strengthen the network of intensivists in Europe and beyond. 1◆ Discounts for congress participation 2◆ Free access to e-LIVES Webcasts 3◆ Annual subscription to • Reduced fees for ESICM, workshops and the EDIC and EDEC ICM journal 4◆ 500€ discount on article processing charges for ICMx 5◆ Apply for research grants 6◆ Free diplomas Lastly, if your national society is not yet affiliated to our Society, do not hesitate to contact our Membership Department at: access to e-Learning Academy and e-Modules (Former PACT Programme) 7◆ Reduced fees for ESICM Master • Discounts for participation at our annual congress [email protected] Classes 8◆ Reduced fees for EDIC and EDEC 9◆ Participation in ESICM’s scientific activities 10◆ Full access to • Free access to eLives webcasts (lectures from the our interactive website content 11◆ Dual membership 12◆ Free webinars led by top experts 13◆ AppIC: scientific sessions held during ESICM congresses and Dedicated App for Nurses & Allied Healthcare Professionals meetings)

• Annual subscription to the Society’s, ICM journal, the first journal publishing only critical care (with an Impact Factor of 18.967)

• 500€ discount on article processing charges for our second, open-access journal, ICMx (experimental research)

• The possibility to apply for Research grants and awards

• Regular live, interactive webinars with UEMS accreditation

19 20 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs Affairs ESICM Annual Congress & LIVES Forum ESICM Research Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 ACTIVITIES OF THE ESICM: Get more from your Society DIVISION OF SCIENTIFIC AFFAIRS_ ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

It is now one year since I took over from Maurizio Cecconi as Chair of the Division of Scientific Affairs and one year since our annual congress in Paris. The last twelve months have been fast-paced and eventful, and here we are again at what is the Society’s 32nd annual congress in Berlin. I hope that you will come away from this year’s congress feeling that you have learned a lot and renewed or found new contacts with fellow colleagues, for this is what it is all about.

LIVES 2018 attracted 6,200 delegates, 443 scientific, state of the art and industry sessions, 13 Master Classes, 350 faculty, an impressive 1,565 abstracts, 79 exhibitors and 18 major sponsors.

I wanted to build on this success and create an even more interactive experience this year, with occasions for our younger intensivists to be able to approach our more learned faculty, over breakfast and also the authors of published research, those responsible for some of our e-learning modules and the highest achieving EDIC candidates.

I was also keen to reduce the number of sessions and to meet our diversity targets. Indeed, this year’s congress includes a higher percentage of talented younger speakers and more experienced female speakers. We have also introduced a family room, a new Neuro Lab, to add to the Simulation Centre and Tech Lounge, as well as our popular Arena, e-Area and the NEXT Lounge.

As well as LIVES, our main event has been Euro Asia 2019, which was our third conference in Asia and which this year took place in Taipei (Taiwan). The conference drew a record number of delegates (556) and 168 abstracts, which was well beyond that of the first two years. The number and representation of Asian participants was very encouraging. News about next year’s meeting place will follow shortly.

Our annual LIVES Forum brought delegates to sun-filled Nice and focused on AKI as a syndrome. As we received many impressive bids for next year’s Forum, we have decided to hold two, with some spacing in between. In February (7-9), we will launch LIVES Physiology in Prague. This will be a new concept, and a very interesting programme including leading experts has been drafted. In May (14-16) we will return to Dublin to address “Septic Shock: from the bug to organ failure”.

The first Big Data meeting & Datathon in Milan last February proved to be a major success with 400 doctors, engineers and data scientists taking part, from all over the world. The Datathon now involves ESICM, the Humanitas University and Politecnico of Milan and the Massachusetts Institute of Technology. More and more hospital departments will employ data scientists in the future, rather than statisticians and, given the growing importance of machine learning and bid data, ESICM this year created a new Data Science Section. This Section will play an important role in next year’s Datathon on 31 January-2nd February 2020.

All in all, I think you can agree, our scientific programmes and events are growing in number and in stature, thanks to the solid team of Congress Committee members, the congress staff at the Secretariat and our esteemed faculty members. Here’s to another successful year of collaboration!

Armand Girbes Chair, Division of Scientific Affairs

23 24 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs 1. ESICM Annual Congress and LIVES Forum

• 6197 delegates What our delegates liked best at LIVES 2018_ • Abstracts submitted: 1565 Really terrific congress, one of the two best • Abstracts presented: 1324 ICU meetings in the world. • Abstracts rejected: 15,4% Friendly atmosphere in spite of the enormous • Abstracts Oral Pres: 150 number of presentations and visitors.

• Abstract Poster Pres: 1044 Thanks to all the organisers. • Abstracts Arena presentation : 130 High quality programme and speakers • Next Lounge Sessions: 22 and excellent overall organisation. • Tech Lounge: 19 sessions Excellent congress, well organised. • Arena: 17 sessions A lot of sections, good info, up to date lectures.

• Simulation Centre: 4 areas Congratulations to ESICM • 12 PG Courses • EDEC Diploma • EDIC Part 2 • Session Rooms 10 • Poster Corners 8 • Thematic sessions 66 • Clinical sessions 20 • ESICM speakers 321 • Industry speakers 36 • Major Sponsor 18 • Exhibiting companies 79 • Industry sessions: 26 • SQM: 1643,5

25 26 How satisfied are you with LIVES 2018 in general?

Excellent 49%

Good 43%

Satisfactory 7%

Poor 0%

Top Ten countries attending LIVES 2014

Country

United Kingdom 623 ESICM ANNUAL REPORT Spain 436 ActivitiesGermany of the ESICM: Division387 Of Scientific Affairs 2018-2019 Netherlands 344 Switzerland 274

France 265 United States 205 Norway 171 Italy 166

India 162

10 top submitting countries No. of submitted Country Abstracts Spain 257 United Kingdom 161 Korea 93 France 90 Italy 71

Brazil 70 Japan 67 Netherlands 65 Germany 51

Tunisia 49

How satisfied are you with LIVES 2018 in general?

Excellent 49%

Good 43%

Satisfactory 7%

Poor 0%

27 28

Top Ten countries attending LIVES 2014

Country

United Kingdom 623 Spain 436 Germany 387 Netherlands 344 Switzerland 274

France 265 United States 205 Norway 171 Italy 166

India 162

10 top submitting countries No. of submitted Country Abstracts Spain 257 United Kingdom 161 Korea 93 France 90 Italy 71

Brazil 70 Japan 67 Netherlands 65 Germany 51

Tunisia 49 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs 2. ESICM Research

Report of the Research Committee increase in the number of consensus statements, guidelines This unit is reflecting on the need to have more awareness The jury (Research Committee members with potential and recommendations and endorsement requests. The among patients and families about what research is and why it external invited members) met in two sessions - pre-selection 2018-2019 _ Society is currently brainstorming on a new endorsement is important, but also why involving patient representatives in and jury meetings. Pre-selected submitted projects that had procedure that shall also encompass the endorsement of large projects is necessary and why patient-centred outcomes passed the scientific quality, methodology and budget reviews research projects. are increasingly used. were sent to external assessors. Assessors were volunteers Research is more than ever a pillar of ESICM. The steady who expressed their interest to be part of our pool of reviewers growth of the research activities over the last eight years COMMITTEE AFFAIRS iv) Surveys & projects to help us assess projects and can express their interest at indicates that the Society is meeting a real need. To be able Revised application and review forms are being drafted. any time using the link https://www.surveymonkey.com/r/ to continue in a sustainable way, the Research Committee The elections that took place in May 2019 were very important This is necessary in order to cope with the high number of CallForReviewers has been reflecting on how to better tackle this challenge for the Research Committee: It is a crucial time for the endorsement requests. and serve both the critical care community and its patients. different mandates: Five Section Deputies will be succeeded, This link is open all year long. starting at the General Assembly on 1st October 2019 in RESEARCH AWARDS The creation of Business Units within the Research Berlin: AKI, HSRO, ETH, SIS, TEM. Assessors were selected according to specific criteria, among Committee is a first result of this process. The aim is to The 2019 campaign was the most successful year ever. 219 others academic and/or clinical experience, h-index, grant divide the different tasks among smaller groups of Research Two NEXT Committee representatives will also change, and applications were submitted. application experience and topic of expertise. Committee members who not only have the expertise, but we will have a new deputy from the “Data Science” Section. are also committed to engage in different projects. We deeply thank all those who have served the Committee. New this year, are the four GE Healthcare-ESICM Point of Care Awards and the Professor Burkhard Lachmann Award. Each Four Business Units have now been set up, dealing BUSINESS UNITS GE Healthcare-ESICM Point of Care Award allocates €15,000 respectively with Surveys & Projects, Awards, Patient to projects related to the improved diagnosis and treatment of Affairs & Family Engagement and Education. i) Education patients with Sepsis and a support loan of equipment (devices) The idea of this Business Unit is to educate the researchers for a total value of €50,000. The Society is also re-considering how best to support about research methodology, scientific writing and statistics. research projects, given the many changes in the A specific pathway would include access to online resources The Professor Burkhard Lachmann Award for Experimental organisational aspects of clinical trials. As ESICM does not and possibly a course. A mentoring programme for Research (€5,000) will be given for the first time this year. The have the capacity to be the official sponsor of studies, new researchers could also be considered. recipient has been selected among the Basic Research Award formats to facilitate research need to be developed. applications that passed the first review step. ii) Awards Education of researchers also is an area where the Research After having drastically improved the application platform, it The application and review platform have both been re- Committee recognises the need for support, and the was felt that the review process had to be changed as well. designed to allow for a smoother handling of such a vast Committee has started to work on this, in close collaboration The 2020 platform shall just need some minor improvements. The ESICM Research and Industry Awards process was number of submissions. For the first step, the applicant has with other ESICM Committees. divided into three steps: pre-selection, the external assessors to submit a short application in an abstract-like form. After iii) Patient and Family Engagement review and the jury meeting. pre-selection, 66 applicants were invited to complete the Following the same trend, this year has witnessed an

29 30 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

To date, 14 centres have been given clearance to access the ESICM Health Services Research & Outcome (HSRO), Neuro- eCRF platform. Intensive Care (NIC) and Peri-Operative Intensive Care (POIC) Sections. Registrations of centres is open. eCRF is under 6. VITDALIZE: Effect of high-dose vitamin D3 on 28-day revision before its creation. mortality in adult critically ill patients with severe vitamin D deficiency. The recruitment of patients within a selection of European sites started in August 2017. The study is SYSTEMATIC REVIEW GROUP (SRG) proceeding well and we now have > 20 active centers in Austria and Belgium and, as of today, included 284 patients. UK and This last year the Systematic Review Group (SRG) led several Germany have confirmation of funding, but it will still take a projects: while before they will become active. • Creation of a preliminary online tool for presentation 7. WEAN SAFE: WorldwidE AssessmeNt of Separation of of live metanalyses within the ESICM website. pAtients From ventilatory assistance is a multi-centre, A first version of the tool has been tested with unpublished prospective, observational, 4-week inception cohort study, data and has been demonstrated to work. The esthetic of initiated by the ESICM Acute Respiratory Failure (ARF) the presentation still requires some finesse. The next stage Section. The purpose of this study is to describe, in a large of this project requires collaboration with publishers. This is population of ICU patients the burden, management and currently being investigated with the understanding that the spectrum of approaches to weaning from ventilation, in end-result should benefit three parties: the researchers, the patients that require invasive mechanical ventilation for any publishers and ESICM. reason, for a time period of at least 24 hours. To date, data • The forms for proposals for systematic reviews were from approximately 10,000 cases from all over the world has updated and calls for Section-led systematic reviews were full application providing extensive information about the study on intra-abdominal infections (IAIs) in critically ill already been validated in the eCRF platform. Data Cleaning sent out twice. research plan, methodology, etc. The full application was patients with a special emphasis on epidemiology and is ongoing. The first call came out in January. Each proposal was assessed initially reviewed by 2-4 external reviewers before being outcomes. The trial closed in March 2017. More than 2,200 by two reviewers. There were more submissions than could be assessed by the jury members. patients have been included. The first manuscript was 8. ICU-CONSERVATIVE O2: The purpose of the present study assessed by the members of the SRG. Therefore, additional submitted to ICM in June 2019. is to assess whether, in a wide population of mechanically experts in the field were recruited to assist in the assessment A more systematic follow-up of the mandatory reports from critically-ill patients, the strict maintenance of a state of process. the awardees shall be in place in the near future. 2. SUPERNOVA: a pilot study with the aim to assess Low-flow normoxia, by application of a defined protocol, could be Three proposals were selected in the first round and also extracorporeal CO2 removal in patients with moderate ARDS beneficial in terms of ICU mortality, incidence of organ failure underwent approval by the ESICM Executive Committee. SURVEYS AND PROJECT ENDORSEMENT to enhance lung protective ventilation. Patients were included and new outbreaks of infections if compared to the application These are progressing and will be presented at the SRG in three separate arms, using either the Alung, Maquet or of more liberal strategies of oxygen administration. The meeting in Berlin together with the support required. Seven surveys have been endorsed this year, with over Novalung device. The pilot and safety study opened at the end eCRF platform is planned to open early December 2019 for a The second call came out in August and proposals are coming 12 applications in the pipeline: IRIS: Initial Resuscitation of 2015 and closed on 30 June 2017. The final manuscript has selection of ICU form Italy, France, United Kingdom and Spain. in at this time. It has been agreed that methodologically sound in Shock, CleanTBI Sedation management in patients been published in Intensive Care Med. 2019 May;45(5):592- metanalyses that are of potential interest will be submitted with Traumatic Brain Injury: a survey of Intensivists and 600. doi: 10.1007/s00134-019-05567-4. 9. SYNAPSE-ICU: An international prospective observational preferentially to ICM for review. Neurosurgeons, IPAFLU: Influenza-associated aspergillosis StudY on iNtrAcranial PreSsurE in intensive care (ICU). The • Three additional projects are being moved forward survey, Automatic tube compensation practice in the ICU – 3. TRAIN: TRansfusion strategies in Acute brain INjured objectives of the study are to explore ICP monitoring variation under the auspices of the SRG. The first relates to ICU ethical ATC survey, The TRACE2 survey- Transfusion practice on the patients: is a prospective multicenter randomised interventional in practice in order to prioritise uncertainties in the clinical practice and is in late stages of data extraction. The second intensive care unit (ICU) in patients with active bleeding; an study that aims to assess the impact of two different strategies management of critical care patients with acute brain relates to sepsis and is currently undergoing a preliminary international online survey, PRACT-INF-ICU: Current Practice to administer blood transfusions in a large cohort of critically injury and support further collaborative hypotheses-based literature search before protocol submission, as it may require of infectious disease management in the ICU – International ill patients with a primary brain injury. Registration is open to prospective studies. To date, 158 active sites localised in 41 several collaborations. The third has to do with the high flow survey, Patient safety ESA ESICM survey. sites which have at least 50 patients with acute brain injury countries in the world included 2,618 patients. nasal cannula and is being conducted in collaboration with the admitted per year. The TRAIN study has achieved its 35th PLUG group and McMaster University. The Surveys and projects endorsement Business Unit is month (August 2019). We have 59 centres included in the 10. EUROBACT2: Epidemiology and Determinants of Outcomes working on a new, refined application form that shall be eCRF with ethical approval, with 44 being ACTIVE (around of Hospitals Acquired Blood Stream Infections in the Intensive implemented after LIVES 2019. 75%). During the first 34 months, a total of 3,398 patients have Care is a prospective observational multinational, multicentre been screened in the active centres; 420 patients (12%) have cohort study. More than 325 centres have registered. The The INACTIC project by the N&AHP Committee has been eventually randomized. In the last month, 13 patients eCRF platform is set to open in September 2019. been successful in securing a grant from the Erasmus+ have been randomized. Programme. International Nursing Advanced Competency- 11. COBALIDATION: A multicentre cluster randomised trial based Training for Intensive Care is a core curriculum project 4. DECUBICUS: A Multicenter International One-Day of 14 ICU Departments from 14 academic referral hospitals on IC. The progress report will be available through the Prevalence Study on Pressure ulcers in Intensive Care located in Spain. The participating ICUs are general medical N&AHP Committee. Units. The objective is to provide an up-to-date, international and surgical ICUs accredited to train three new residents in “global” picture of the extent and patterns of pressure ulcers intensive care medicine per year. Additionally, the study sites TRIALS UPDATE in ICUs. It is the first nursing project accepted as an ESICM have been selected based on their research infrastructure, Trials Group Study. The data collection is closed and the geographical diversity and proximity to simulation centers. The trials activities continue to develop very successfully, both analyses and data cleaning are ongoing. More than 12,000 The Cobalidation e-platform was set up in 2019 and basic in terms of the number of ICUs participating in them and in patients were enrolled. simulation-based OSCEs have taken place. Sharon Einav terms of patient accrual. A little less than 50,000 patients have Chair, SRG been included since we started with FENICE in 2013. 5. PREVAKI: Biomarker Guided Implementation of the KDIGO 12. SANDMAN: The SAnDMAN study Sedation, Analgesia Guidelines to reduce the occurrence of AKI in patients after and Delirium MANagement is an observational study that 1. ABSES (Abdominal Sepsis Study): Epidemiology of Etiology cardiac surgery. A selection of ICUs in Europe is participating. will describe sedation, analgesia, and delirium strategies More on and Outcome is a multinational, prospective, observational This project received the ESICM Trials Group Award 2017. used in ICUs around the world. The study is endorsed by the www.esicm.org/research/

31 32 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

Acute Kidney Injury (AKI)_ The e-learning modules have been re-vamped under the • REVERSE-AKI on the occasion of the SMART conference in Milan and lead of Miet Schetz and Marjel Van Dam and we are already is a project that came forth from the Spring 2017 AKI Section also the International Conference of the American The AKI Section faces a transition in 2019. The current Chair, in the process of updating the former PACT modules and meeting. The objective of this study is to evaluate whether Thoracic Society in the United States), where scientific Eric Hoste, and Deputy Chair, Marlies Ostermann, have both exploring new initiatives. a restrictive fluid regimen will lead to a lower cumulative abstracts are discussed. finished their three-year mandate serving the Section. After fluid balance in critically ill patients with AKI. The PIs for this The PLUG, together with the ARF section and ESICM, two terms, Eric now leaves room for others. Starting at the Similarly, the Journal Review Club initiative is getting off the study are Suvi Vaara and Marlies Ostermann. The study is annual congress, LIVES 2019, Marlies Ostermann will chair ground with the help of Barbara Philips, Ilona Bobek and still enrolling patients in five centers. the Section and Antoine Schneider will be the new deputy. Sebastian Klein. successfully organised a LIVES Forum in Madrid last I am very confident and excited that their leadership will year and a new course on advanced beside respiratory stimulate new ideas and initiatives. RESEARCH monitoring will be held in November 2019 in Brussels. ARF Section_ This course is already fully-booked. Last year we had the usual two Section meetings at the • PrevAKI Last, but not least, Dr. Hadrien Rozé and Dr. Fernando Society’s annual meeting in Paris, and the ISICEM meeting This 2016 Trials Group award winner with PIs Alexander The Acute Respiratory Failure (ARF) Section of ESICM is Suárez -Sipmann are the Section representatives in Brussels. As a novelty, this last meeting was in the ESICM Zarbock and Melanie Meersch from Münster, Germany, aims one of the largest sections, with more than 1,000 voting for educational activities and together with Pr Claude headquarters in Brussels, very near to the ISICEM congress to evaluate the compliance rate of the use of a care bundle members. The Section members are actively engaged Guérin and Pr Davide Chiumello, they are actively working venue. Probably, because of this new location, not many of for prevention of cardiac surgery associated AKI. The study in research and educational activities proposed by with the DPD on a number of ESICM Academy activities. us were able to attend the meeting, which was of course is near to completing recruitment of patients. the Society and by the Section itself. The Section held unfortunate. two meetings during the LIVES 2018 conference in • STARRT-AKI Paris and the ISICEM 2019 conference in Brussels. In June, we had the “AKI as a syndrome” Lives Forum meeting This prospective randomized study on accelerated or These meetings were very successful and had an active in Nice, France. This three-day meeting was co-organised standard timing of initiation of RRT for AKI is initiated and attendance and participation of numerous members. with the MEN Section, and the programme offered a mix run by Sean Bagshaw and Ron Wald. The AKI Section was The Section collaborates in the drafting of the programme of lectures and hands-on workshops on topics concerning involved from the onset of the project, which also resulted for the LIVES conference, and on the PG course- AKI, liver and pancreas. A big thank you to the whole ESICM in the endorsement of this study by the ESICM Research Masterclass on Mechanical Ventilation, which is every Forum team, and especially Carole Ichai, for putting such Committee. year improved, thanks to the Section’s feedback. great effort into making this meeting a success! The study has completed its inclusion of patients. However, One of the studies promoted by the ARF Section - LUNG- it is still collecting outcome data. Results will be probably be SAFE - has been very successful and after the first The Master Class on RRT, which is traditionally held during available in the late Spring of 2020. paper published in JAMA (July 2016), numerous sub- the annual ESICM meeting, was re-structured in 2017, and studies have been published so far in Intensive Care fine-tuned in 2018. Antoine Schneider, together with a team Medicine, American Journal of Respiratory and Critical of enthusiastic AKI Section members, made a template on Care Medicine, and other top critical care journals. Jordi Mancebo Luigi Camporota which we can build for the upcoming years. We are excited to The Section is currently involved, along with the Trials Chair oh the ARF Section Deputy of the ARF Section announce that this has been accepted, and next year we will Group, in WEAN SAFE (WorldwidE AssessmeNt of have an “expanded” two-day Master Class in the Brussels Separation of pAtients From ventilatory assistancE) office. More news on this later. a multi-centre, prospective, observational, four- week inception cohort study. Enrolment finished In Paris in 2018, we had the first Round Table on AKI - a in May 2018. To date, data from approximately 10,000 focus group on research opportunities for the section. cases from all over the world (gathered in more than 500 The manuscript of this round table has undergone several participating ICUs) have already been validated in the rounds of revisions and will be submitted in October 2019. eCRF platform. The PLUG working Group is an active working group of E-LEARNING MODULES AND JOURNAL CLUB the ARF section. It is an international cooperative project that deals with applied respiratory physiology and the The AKI Section is very fortunate to include two teams of measurement of esophageal pressure in mechanically- enthusiastic AKI Section members who put great efforts into Eric Hoste Marlies Ostermann ventilated patients. The group, which has structured website-related matters. Chair of the AKI Section Deputy of the AKI Section itself with the nomination of a scientific committee, holds periodic meetings (including a full-day meeting

33 34 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

Cardiovascular Dynamics (CD) section_ point prevalence study to quantify current transfusion The Section has grown to over 400 voting members. The Section activities from October 2018 to September 2019 practice in ICUs and investigate differences in transfusion Ethics Section and its members are involved in numerous practice between and within different world regions (Europe, research projects, including ETHICUS II, led by Charlie LIVES 2018 (PARIS) Americas and Asia). The study will collect during one week Sprung (manuscripts published and in preparation) and the • The major activity was for LIVES 2018 (Paris) with many all transfusion data in participating ICUs. A pilot trial has DISPROPRICUS project, led by Dominique Bennot, which has sessions organised by our Section (in total 28 programme succesfully been performed. We are now recruiting centres to led to a publication in ICM. elements). participate. Please contact the Transfusion Task Force Chair if The euroQ2 project led by Hanne Jensen and Rik Gerritsen has • Master Class: this year we ran a two-day pre-congress you have any questions at been published. Rik also got his PhD at Groningen University Master Class entitled “Septic Shock Management”, which was [email protected] defending this project. Furthermore, the Section is involved organised jointly with the Systemic Inflammation and Sepsis in the Ethicus II Study (PI Charlie Sprung, former Chair of (SIS) Section. the Ethics Section), and the systematic review on palliative • Furthermore, there was a Master Class entitled “Basic care interventions in the ICU (PI Victoria Metaxa) with several course in Echocardiography”, as well as an advanced course articles in review or planned. Ethics Section member in echocardiography: LV systolic and diastolic function, RV (Christiane Hartog) won the first ESICM family partnership function”. Award in 2018. MASTER CLASSES (BRUSSELS) Thomas Scheeren Jan Bakker In 2017, the Section obtained the first ESICM grant to facilitate • Hemodynamic Master Class: for the first time, the Chair of the CD Section Deputy Chair of the CD Section a systematic review on the role of palliative care in the ICU. Section organised a two-day Hemodynamic Masterclass at The project is led by Ethic Section member Victoria Metaxa. The SR protocol has been submitted. the ESICM headquarters in Brussels (Feb 26-27, 2019), which Transfusion Task Force was attended by 54 participants. A very important statement on inter professional decision LIVES 2019 (BERLIN) making in ICU was published in CCM (first author, Andrej Background Michalsen, former Chair of the Ethics Section) • The CD Section has proposed a programme including a The topic blood transfusion is highly relevant for intensive one-day pre-congress Master Class (together with the NEXT The Section held a webinar on organ donation. care medicine and the ESICM Transfusion Task Force was Colleagues from around the world use the ESICM Ethics section) launched in 2017. The current Chair is Alexander Vlaar. • Several members of the Section participated in the Alexander Vlaar Maurizio Cecconi Section as a platform for contact, reflection and research. Mission Chair of the Transfusion Co Chair du Task For the first time, the Section will organise a Master Class abstract selection process for scientific contributions to LIVES To support knowledge, research and education of blood 2019. The Chairs participated in an abstract selection meeting Task Force Force Transfusion on end-of-life care and organ donation. And will be held in transfusion in the context of intensive care medicine. December 2019 in Brussels. In LIVES 2019, ethics is included and several Congress Committee programme meetings. Guidelines - The ESICM Transfusion Guideline Part I PUBLICATIONS in a day-long simulation training session (pre-congress The Task Force began by writing the first ESICM Transfusion Ethics [ETH] Section_ Master Class). • The CD Section has published an “expert opinion paper” Guideline. This will be an evidence-based Blood Transfusion entitled Current use of vasopressors in septic shock (DOI: In summary, the Section grows in membership and research Guideline, tailored for the intensive care patient. Part 1 will In 2018, the Chair (Rik Gerritsen, NL) and Deputy Chair activities, as does the activities and awareness among the 10.1186/s13613-019-0498-7). be on non-bleeding critically ill patients and is expected to be (Christiane Hartog, GER) worked closely together and • The Echocardiography Working Group of the CD Section critical care community, that intensive care means making published in 2019. collaborated with the members of the Section to advance choices and that ethics can support you make the right has published a review on Critical care echocardiography Guidelines - The ESICM Transfusion Guideline Part II the issue of Ethics in the Society. We participated actively (DOI: 10.1007/s00134-019-05604-2). choices. We are confident that Christiane and Diederik will Part II of the ESICM Transfusion Guideline will be an evidence- in preparing and shaping the Society’s annual congress in continue on this road. • Several active members of the CD Section were also based Blood Transfusion Guideline tailored for the bleeding Berlin. Thee Chair and Deputy Chair were not present at all the involved in the Awards selection process of the Society. intensive care patient. The group has been formed and the preparation meetings but prepared suggestions accordingly. • Members of the section actively participate in the Journal first meeting took place this year. The guideline is expected to We reviewed and selected the abstracts for the poster Review Club (found on the “news” section of the ESICM be published at the end of 2020. presentations. We both are in the last year of our mandate. website). Research Christiane is elected and will continue as Chair and Diederik Rik Gerritsen Christiane Hartog WEBINARS • TRACE I survey van Dijk will take up position as Deputy Chair, starting in • The Section held two webinars, one on The future of Chair of the ETHICS Section Deputy Chair This is an international survey to understand transfusion October 2019. of the ETHICS haemodynamic monitoring on January 21st, 2019 and one on practice in ICUs world-wide. Since international transfusion The enthusiastic participation of the Section’s leadership How to use lactate in clinical practice on April 4th, 2019. guidelines for the intensive care setting are lacking, we resulted in a prominent presence of ethical issues during last SURVEYS hypothesise that a large variation in transfusion practice year’s congress. We had several interesting and well-attended • The Section has developed and performed two surveys on exists. The aim of this survey is to use the information sessions. But even more important there was a very lively transfusion practice in the ICU (TRACE and TRACE II survey). gathered as a baseline measurement prior to implementation interaction and discussion between faculty and the audience TRACE I is accepted for publication. of the new Transfusion Guideline being prepared by the ESICM and among the members themselves during these sessions. • The section has agreed and submitted a paper on Transfusion Task Force. The results of the survey are now Next to specific ethics sessions the members participated in Metrology. submitted for publication. more general session debates and Master Classes. WORKING GROUP • TRACE II survey During the annual congress, there was a very well-attended • The Section has founded a new working group on Arterial This is a follow-up on the TRACE I survey. We will now focus Section meeting where we discussed the goals and projects mechanics and v-a coupling. on bleeding critically ill patients. The survey is expected to be of the Section. Valuable contacts were established, which are We would like to thank all the members of the Section for their online in Summer 2019. essential for future projects and cooperation. The planned on-going and active support. Upcoming projects Section meeting during ISICEM was cancelled due to lack of • INPUT trial attendance. This might have been due to the location, which This is an international multicentre prospective observational was at the ESICM office and not at the ISICEM venue.

35 36 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

Infection Section_ Therapeutic Drug Monitoring (joint ESICM, ESCMID, IATDMCT and IAT led by J Roberts) The INF Section has been busy in recent months and this report summarises our activities. Pneumonia (D Koulenti) MDR infections (with ESCMID) and Severe CAP (with ERS). We will be holding two thematic sessions at the 2019 LIVES QoR-ICU HSRO section _ meeting in Berlin: 1 Clinical Challenge session and several Antibiotics Working Group This study looks at the quality of recovery after ICU treatment. joint sessions with, among others, the Data Science, SIS and We welcome the recently-elected Chair, Hendrik Bracht, who Section chair: Dylan de Lange (NL) Members of the HSRO are participating in Delphi rounds for is leading the work on an Antibiotic Stewardship Master Class Section Deputy: Michelle Chew (S) ARF and AKI Sections. We will also be holding an INF Section consensus making on selection of variables, parameters and meeting, to which you are warmly invited. and conducting the major INF Section-endorsed A-TEAM study, Chair Working Group Quality and Safety: Dave Dongelmans (NL) outcomes. which is ongoing. Chair Working Group Health Economics: Peter van der Voort (NL) In May of this year, we delivered a new Master Class in Brussels Chair Working Group Outcomes: Paul Zajic (AT) SANDMAN on Sepsis and Severe Infections, in collaboration with the SIS Pneumonia Working Group Multinational observational study into the sedative and Section, and will be delivering another Master Class during the In 2018/2019, the HSRO Section Chair and Deputy both analgesic usage and outcomes. The protocol has been weekend preceding LIVES 2019 in Berlin. The Chair, Despoina Koulenti, is leading the ‘Pneumoinspire study’. 1500 patients have been recruited and the aim is to end participated in preparing and shaping the Society’s annual finalised and ethical approval is being sought. congress in in Paris and the upcoming event in Berlin. They The Section endorsed five surveys over the last six months. recruitment in June 2019. were present at all the preparation meetings and reviewed SAPS-3D Many thanks to all those who took the time to complete them. The surveys included: Management of infections in the ICU - Further studies include: and selected the abstracts for the poster presentations. This This new study aims to provide a score that predicts death resulted in a prominent presence of outcome issues during Ashraf Roshdy (UK);Management of respiratory viral infections and re-admission after ICU discharge. The study protocol The ALL-ICU study of lung antibiotic levels (a joint project with the 2018 congress and there were several interesting and in the ICU - G Voiriot and Q Philpott (FR); Survey of ICU structure has been discussed in various research meetings and the across multiple countries - Armand Mekontso Dessap (FR); the Antibiotics Working Group). Funding has been secured for well-attended sessions. study will start soon. sample analysis as part of an NHMRC (AUS) grant. Various sessions took place with a number of interesting IPAFLU survey of aspergillus after influenza - Joost Wauters, Michelle Holtapples (BE) and Frank Van de Veerdonk and Paul patient groups to discuss outcomes and there were also LOGIC - Linking of Global Intensive Care Registries (LOGIC) VerweiJ (NL). The HAP2 Study (led by Antoine Roquilly (FR). The results of sessions on the methodology of outcome measurement This study is trying to find common ground in all registries the second stage application are awaited. If successful, the and benchmarking. Very importantly, the HSRO provides a and to propose a minimal set of data entries that is needed to The INF Section has a number of ongoing Clinical Studies, projected start date is January 2020. podium for young researchers and health professionals to compare and analyse the ICU patients in different countries including: present their posters. throughout the world. Education – Saad Nseir (FR) The HSRO Section has grown to over 4,000 members. Its DIANA (antibiotic de-escalation) - Jan de Waele (BE). A webinar on fine-tuning antibiotics was delivered in October members are involved in numerous research projects, LIVES 2019 Data collection is complete and will be presented in Berlin at 2018. including the VIP 2 study, the SAPS-3D initiative and the The HSRO Section will hold its annual section meeting, as LIVES 2019. SANDMAN study. The VIP1 collaboration, which started in well as various research meetings, at LIVES 2019. Interested Two eLearning modules have been completed (Pyrexia, 2016, has resulted in an impressive 15 publications about very intensivists are very much invited to attend, or to become a EURECA (encephalitis)- update from JF Timsit (FR). 400 cases enrolled, dominated by French units (80%). Infection control) and a third is under revision (antibiotics). elderly patients in the last two years. member of our Section. The HSRO section has participated in development of 4 We hope to meet you soon! e-learning courses that are currently being processed for The aim is to prolong this study to June 2019 and to bring more countries on-board (including Brazil and Portugal). The internet application. The topics are: prediction of outcome, The HSRO-section modelling outcome, predicting outcome and benchmarking. participation of further countries is being sought and, if further countries come on board, it may be possible to prolong this study. ONGOING PROJECTS: SEEIII study (project research responsible, Andreas Valentin) BLING 3 (continuous vs intermitted beta-lactams) – Jeff Study inclusion has closed and analyses of the data are being Lippman (AUS). This study is ongoing and due to be completed performed. Results will be presented shortly. in 2022.

Very Old Intensive Care Patients (VIP) project Studies which are currently under development include: This project started in 2016 with the first step, the VIP1 study. This project started in 2016 with the first step, the VIP1 EUROBACT II – led by JF Timsit (FR). 50 countries have been study. Over 5,000 patients were recruited and more than 15 identified, with 200 centres recruited so far. The aim is to start publications are now based on this research. in June 2019, but for countries with slower approval, a later Despite the fact that the VIP1 study answered many questions on start is possible. Proposals for suggested analyses are invited the outcome of very old ICU patients, some questions remained and a database will be open for this purpose. unanswered. For this reason, the VIP2 study was started in 2018. At present, the inclusion of new patients is complete and AURORA – led by Jan de Waele (BE) – is an annual survey of Jan de Waele José Garnacho Montero the follow-up period (6 months survival) is almost finished. antibiotic resistant organisms. Intended recruitment will start Dylan de Lange Michelle Chew late 2019. Chair of the Infection Section Deputy of the INF Section This study tries to answer if comorbidity and physical functioning Chair of the HSRO Section Deputy of the HSRO Section prior to admission are more important for survival chances in An important aspect of our Section’s work is guideline very elderly ICU patients. development. Alexis Tabah (Aus) and J Garnacho-Montero More than 3,800 patients acutely admitted elderly patients have (Spain) are leading a joint ESCIM/ESCMID guideline concerning been included throughout Europe. Antibiotic de-escalation, which is nearing publication.

Also under preparation are the guidelines on:

37 38 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

MEN section 2018-2019_ and Belgium (>320 patients, target 1,200 for interim analysis, Prognostication » and is led by Geert MEYFROIDT (Leuven, Belgium). been published in Neurocritical Care. The leaders of the projects 2,400 for the full study). The UK and Germany receive The aim of this Working Group is to develop multicentric observational are Frank RASULO and Chiara ROBBA. Metabolic, endocrine and nutritional (MEN) components are separate funding from NIHR and BMBF and presumably start cohorts of patients to investigate particular epidemiologic patterns, present in any ICU pathology: when well handled, nutrition recruiting at the end of 2019. evaluate clinical practices, promote surveys among centres and • eLearning platform and Education is the fertilizer of all other therapies. It requires however, an potentially develop clinical interventional trials on “burning” The NIC Section is contributing to the development of “neuro” understanding of the different organs involved in the metabolic The iSOFA study is finished and data analysis is currently questions, where a knowledge gap exists. topics for the e-Learning platform within ESICM and four new responses, and how best to integrate them into other organ being processed. 540 patients from 11 sites worldwide were modules have been completed. failures in the critically ill. included in the study and biomarkers were measured in five The NIC Section will play an active role in the SANDMAN study, which The MEN Section aims at improving these views. The Section sites (224 patients). The results of the dynamics of serum will describe sedation strategies in critically ill patients, including • TBI collaborative study group has five working groups that promote specific aspects of citrulline and I-FABP will be presented as abstracts at ESICM those with primary brain injury and which has been endorsed by the This is a multicenter retrospective observational study involving LIVES 2019. both education and research: Gastro-Intestinal (GI) function ESICM Trials Group. Furthermore, the Section’s participation in the centres in Europe and Australia, aiming to describe common (Leader Annika Reintam-Blaser (ARB)), Education (Leader SYNAPSE-ICU Study (ICP monitoring) has been relevant. practices in the management of patients suffering from Traumatic In order to improve and orient future research in Metabolism Joel Starkopf (JF)), Liver-Pancreas (Leader Valentin Fuhrman Brain Injury (TBI). The PI of the study is Rinaldo Bellomo, and Nutrition in a constructive way, a research agenda has (VF)), Micronutrients (Leader Michael Casaer (MC)), Muscle Geert MEYFROIDT has been appointed as the new Chair of the Melbourne, Australia. been developed and submitted for publication. The effort of (leader Stefan Weber-Carstens (SWC)). Section; the leader of this Working Group will be defined at the next A first study on the effects of mannitol or hypertonic saline on the 25 members of the GI Working Group was co-ordinated by Two meetings were held during LIVES 2018 in Paris and the meeting. outcome of TBI patients was submitted for publication. A second ISICEM 2019 congress in Brussels. Sub-Section meetings ARB. The MEN Section was awarded support for a Systematic study on diabetes insidipus is already accepted. took place on both occasions (Liver and GI). A third trans-sectional Working Group on Delirium has been recently Two surveys were sent to Section members. The first in Review on Hypophosphatemia: the project ranked 2nd out of 16 submissions. There will be two parts: a point of prevalence created; Romain SONNEVILLE represents the NIC Section in this New manuscripts are coming. January 2019, to identify the members of the Section who group (Chair: A SLOOTER). A consensus paper on delirium definition wanted to participate actively in different activities. 54 survey and a systematic review. We take this opportunity to thank Pr. Carole Ichai, past Chair and management is currently ongoing, with the involvement of two NIC SECTION PROJECTS members confirmed their readiness to contribute. The NIC Section members (T Sharshar and N Latronico). The NIC Section has different ongoing studies within the ESICM second in May, to identify potential interest/participation in the of the Section, for all the project initiations. We would also like to thank the very active members of the Section. Clinical Trials Group; 1) International prospective observational Phosphate Prevalence survey. Over 50 potential participating EDUCATIONAL ACTIVITIES StudY on iNtrAcranial PreSsurE in intensive care (ICU) - SYNAPSE- centres completed this survey. • LIVES 2019 ICU (Giuseppe Citerio, University Milano Bicocca – Ospedale San The NIC Section is well represented and obtained several slots Gerardo); 2) Extubation in Neuro-ICU patients and Outcome. The EDUCATIONAL ACTIVITIES Mette Berger Valentin Fuhrman Chair of the MEN Section Deputy of the MEN Section at LIVES 2019. For the first time, the Neuro Lab will be present ENIO Project. A Multicentre International Observational Study. • Academy courses during LIVES2019, focusing on non-invasive neuromonitoring. (Karim Asehnoune, CHU Nantes); 3. EuRECA The EURopean An enormous effort was made by the Education team (led The Master Class on managing acute neuro-emergencies will study on meningoEncephalitis in intensive CAre study (Romain by JS) to elaborate five e-Modules dedicated to Nutrition also be part of LIVES2019. SONNEVILLE, Paris, France). (Assessment, Targets, Enteral, Parenteral Nutrition and Monitoring). These complete the Abdomen, Acute Liver • Future projects The next meeting of the NIC Section is scheduled during the Failure and Pancreatitis modules. Several consensus projects are ongoing: ESICM LIVES 2019 in Berlin. a) Consensus on processed EEG monitoring of Sedation in critically-ill patients (Frank RASULO) b) Fever and temperature management in brain injured patients Fabio Silvio Taccone Lara Prisco (Raimund HELBOK and Fabio S TACCONE) Chair of the NIC Section Deputy of the NIC Section c) Management of the Respiratory System and Mechanical Ventilation in Patients with Acute Brain Injury (Robert STEVENS • Lives Forum, Nice: AKI as a Syndrome, 6-8 June and Chiara ROBBA) The MEN section, and particularly past MEN Chair, Carole Ichai, participated in the elaboration of the Forum, along with ONGOING RESEARCH ACTIVITIES the AKI Section. Interactions between kidney and liver failure • Updated algorithm for the management of Severe TBI were explored. Different members of the NIC Section have been involved in this

great consensus meeting, held in Seattle, which will result in a • Lives 2019 Berlin new and comprehensive algorithm to manage severe Traumatic The concept of the programme has been completely reviewed. Brain Injury (TBI) patients. The manuscript will be submitted As usual, the MEN Section members have participated in the Neurointensive care (NIC) section_ before the end of the year to Intensive Care Medicine. abstract reviewing and programme process. In 2019, the Section is attempting to go transversal and interdisciplinary, Transfusion strategies in acute brain injured patients: TRAIN Study with fewer “pure-MEN” sessions, and more collaboration with The NIC Section has developed several activities over the • other Sections, such as AKI, NAPH, and ARF. last year, thanks to the great enthusiasm and participation The TRAIN study, supported by an ESICM award of 50,000 Euro, is There will be two unplugged hands-on sessions on indirect of its members. This has been the last year of Fabio Silvio a multicenter trial that aims at evaluating two different thresholds calorimetry and ultrasound. High- quality abstracts were TACCONE (Brussels, Belgium) as Chair; Lara PRISCO of hemoglobin (7g/dL vs. 9 g/dL) to initiate red blood cells received and there will be three poster sessions, and one oral. (Oxford, UK) has unfortunately left her position of Deputy, transfusions in patients with an acute brain injury (traumatic brain Feedback from our members will be especially important. and Chiara ROBBA (Genova, ITALY) has been elected as her injury, subarachnoid hemorrhage and intracranial hemorrhage). successor. The study has now completed the second year of inclusion and, • Master class at the moment, 60 recruiting centres have screened more than There will (on purpose) be no “solo” Master Class for MEN this Two Working Groups are active within the Section: the first one on 4,000 patients and randomised more than 430. The PI of the study year, but instead, collaboration with AKI. « Multimodal Neuro-Monitoring», which is led by Raimund HELBOK is Fabio Silvio Taccone (Brussels, Belgium). (Innsbruck, Austria), aiming to promote research on the use and RESEARCH ACTIVITIES relevance of Multi Modal Monitoring (MMM) in neuro intensive care. • Survey on respiratory management of acute brain injured patients The Micronutrient Practice survey was successfully completed The survey has been completed. The PI is Chiara ROBBA. The and presented as a poster at ISICEM 2019. It revealed very variable practices regarding prescription and administration A project on the definition of metabolic alterations during acute brain study will be presented as an abstract at LIVES2019. of vitamins and trace elements. The team is finalising the injuries is currently ongoing and will be finalised during 2020. Brain ultrasonography consensus on skill recommendations and manuscript related to this survey. competence levels within the neuro-critical care setting VITDalize trial is now recruiting in > 20 centers in Austria The second Working Group focuses on «Epidemiology and Neuro The Section has contributed to this consensus paper, which has

39 40 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

Peri-Operative Intensive Care (POIC) section_ and the European Society of Anaesthesia (ESA) are SIS section_ SURVIVING SEPSIS CAMPAIGN collaborating in this trial to use common synergies. There The Chair of the Section contributed to the activities of the EDUCATIONAL ACTIVITIES are currently 400 hospitals from 38 countries participating Two regular meetings of the SIS Section took place during Surviving Sepsis Campaign Guidelines Steering Committee • Section members further developed The European and we expect to include >40,000 patients. Results of an LIVES 2018 and ISICEM 2018. Prof. Marc Leone was this year and updated the members of the Section about these Intensive Care Curriculum (EPICC) as a part of the new online survey performed before the start of the study will be elected Deputy Chair of the Section. activities during the regular Section meetings. e-learning Academy. Five more modules are currently about presented during LIVES 2019. to be finalised. • The Section recently generated a cross-sectional working LIVES ALIVE • Last Spring, we ran for the first time the European group in cooperation with the HSRO and NIC Sections. It The Section played a significant part in the composition of SIS Section members are actively contributing to the ALIVE Perioperative Intensive Care Curriculum Master Class focuses on Delirium and Long Term Outcome (DeLTO). The the scientific programme of LIVES 2019. The Section also Initiative (sepsis education in resource limited settings). in the Training Centre in Brussels. The main objectives first meeting took place at LIVES 2018. Several research organised a PG course on sepsis during LIVES 2018. of this Master Class are to understand the place of ICU projects and consensus statements are already planned NEXT in Perioperative Medicine, review major perioperative within this working group. RESEARCH COMMITTEE The SIS Section has also collaborated on a number of the complications, learn how to implement efficiently a • A joint meeting with members working with intensive care The activities of the ESICM Research Committee were NEXT Committee’s activities, such as the NEXT Fellowship perioperative pathway for high risk surgical patients and registries from the HRSO and POIC section took place in supported and coordinated by the Section Deputy. This on ‘Infections in ICU’. focus on simulation and hands-on sessions. March in Brussels. The aim is to agree on common registry included proposals endorsed by the Section for a research • During the Master Class, we employ techniques that variables to enhance and ease cooperation of registries grant. One of these proposals was supported and funded by encourage maximum learning through participation and beyond national borders. the Research Committee. knowledge retention. This is achieved by avoiding frontal lectures and offering possibilities for a lot of interaction ACADEMY between the participants. The course was fully booked and The Section has assisted the e-learning Committee by the evaluation of the Master Class was the best of all Master Ib Jammer Aarne Feldheiser updating the Academy e-learning modules relating to Sepsis Classes at that time. We developed the educational content Chair of the POIC Section Deputy Chair of the POIC Section and MOF. Academy modules from the SIS Section continue Yasser Sakr Massimo Girardis in close collaboration with Melania Istrate from the ESICM to be well-received, with the Sepsis and Septic Shock module Chair of the SIS Section Deputy of the SIS Section office. A new EPICC Master Class will take place in Spring the third most completed module in the Academy to date. 2020 in Brussels. Even more exciting, these modules are being adapted in • The Section contributed to the composition of the scientific order to be part of the Academy application for credentialing programme of LIVES 2019. A postgraduate course on by UEMS (for CEUs) Delirium Management will take place during LIVES 2019 at the Berlin Delirium Simulation Centre. This will be in MASTER CLASSES close cooperation with the Department of Anaesthesia and The Master Class on the Management of Sepsis was Intensive Care of the Charité University Hospital, Berlin. successfully provided at the ESICM training centre in April 2018 and feedback from the delegates was very positive. RESEARCH ACTIVITIES: • The Section Deputy Chair supported and coordinated WORLD SEPSIS DAY activities of the ESICM Research Committee. Two proposals The Section supported and endorsed the World Sepsis Day. were sent to the Systematic Review Group this year. Following the Sepsis Resolution, the WHO is highly interested • An international observational trial about postoperative in collaborating with the ESICM on issues related to sepsis vasopressor usage is being run by POIC members. ESICM prevention and quality improvement initiatives.

41 42 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division Of Scientific Affairs

Global Intensive Care (GIC) Working group_ DecubICUs study, TOTEM study and the Isorea survey, has also been facilitated by the group. Aspects of the TOTEM study have The past year has been another exciting, productive and recently been published. meaningful year for the Global Intensive Care Working Group of ESICM. Membership numbers have continued to increase The next Surviving Sepsis Campaign guidelines, which is and frequent inquiries are made with respect to the group, its currently being addressed, has group members as part of the activities, participation, and possible collaborations with it. panel. Several members have delivered extremely well-received talks at the Congresses around the world. A major focus of the Two very productive and enthusiastic formal meetings were held group has been the development of the course content for the in the past year - at the ESICM LIVES Congress on 23 October ALIVE Sepsis project, which was announced at the ESICM Lives 2018 in Paris, France, and at the ISICEM Conference in Brussels Congress in Paris in 2018. The course is an absolutely unique and on 20 March 2019 (meeting held at the ESICM Brussels Office). exciting initiative! Following the announcement, 16 theoretical Several teleconferences, communications and telephone modules have been prepared together with associated calls were also held during the year pertaining to projects, PowerPoint presentations. These have been independently Trauma and Emergency Medicine (TEM)_ Several clinical studies by Section members within our area of collaborations, papers, initiatives, and for support purposes. reviewed and were available on time for the first course, which interest have been published in 2018, or are ongoing. One large The nine published papers previously alluded to in last year’s GIC was held in Kampala, Uganda in June 2019. To have achieved The societal year 2017 (October 2017 until September study should be mentioned in particular, the PARAMEDIC II WG annual report and covering important recommendations this in less than one year was a simply remarkable feat by a 2018) consisted of preparation for the TEM programme at trial (https://www.ncbi.nlm.nih.gov/pubmed/30021076). This and suggestions for sepsis and intensive care management truly committed team and group! The contributions were simply ESICM LIVES 2018, one webinar about Damage Control double-blind controlled trial randomised more than 8,000 in resource limited settings - the bulk with additional on-line fantastic and massive thanks is extended to all the contributors, Resuscitation in Trauma, and the submission of a new adults with out-of hospital cardiac arrest (OHCA) to receive supplements - are now increasingly cited and downloaded. They reviewers, Academy staff and Nathan Nielsen for the sterling e-learning programme on Trauma Care. epinephrine i.v. vs. placebo. Epinephrine use resulted in a have also been incorporated into a book “Sepsis Management efforts in achieving and helping to facilitate this within the significantly higher rate of 30-day survival than placebo, but in Resource Limited Settings”, which has been made available designated time frame. A personal thank you to Martin Dünser Two meetings were held during LIVES 2017 in Vienna and there was no significant between-group difference in the rate as an open access book, so that all interested can download the for his magnanimous contributions and support, to Nikolas ISICEM 2018 in Brussels. of a favourable neurologic outcome because more survivors chapters, or complete book, for free. It is available at Styliandes for his great work in in facilitating the web electronic had severe neurologic impairment in the epinephrine group. https://rd.springer.com/book/10.1007/978-3-030-03143-5. conversions and formatting, to everyone who helped in many The TEM Section actively contributed to the scientific So, there are still no drugs that have proven to improve 29,000 downloads are already recorded since the release of the ways, as well as to the Society for their ongoing and unstinting programme of the upcoming ESICM LIVES congress in neurologically intact long-term survival in OHCA. It should be book earlier this year! This is indeed a marvelous achievement. support. Paris in September 2018. The programme will include noted that the overall survival with good outcome was very A hard copy of the book is also available. This was a remarkable, three thematic sessions, two clinical challenges sessions, low (around 2 %). concerted, committed and enormous effort by group members, The first course in Uganda was an absolute success, with two joint state-of-the-art sessions (one with the European In addition, two multicentre-RCTs on post cardiac arrest and truly represents a first in the field with respect to the outstanding interaction and discussion taking place after every Resuscitation Council (ERC) on “State of the Art in Cardiac management, the TTM-2 trial, comparing TTM 33 C vs. fever magnitude of the initiative in this domain. Fine support and single lecture, all of which were delivered in exemplary fashion, Arrest Management”, and one with the European Society control only, and the TAME Cardiac Arrest trial, comparing encouragement came from senior members of the group and the enthusiasm, lessons and ambience was truly electric. of Anaesthesiology (ESA) on “What´s hot in Trauma normocapnia vs. mild therapeutic hypercapnia, are both including Marcus Schultz, Arjen Dondorp and Martin Dünser. The same experience emanated from the clinical component Management”), and one live interactive debate. enrolling patients worldwide. of the course, which is a unique and distinctive aspect of the A host of other publications in excellent peer-review journals course. A special and humble thank you to our Ugandan hosts Together with eight full abstract sessions (three oral, five The TEM Section aims to become further multidisciplinary in and emanating from members of the group and its work also for this super meeting and their wonderful hospitality! poster sessions), the TEM Section will host 16 sessions, the future, with a major involvement of young collaborators. occurred during the year. These papers were accepted for including cardiac arrest management, trauma care, burns Representation of the female gender is welcomed and publication in journals such as Intensive Care Med, J Crit Future courses are planned and confirmed into 2020. and poisoning. TEM Section members, are also encouraged to be active Care, JAMA, Ann Inten Care and Eur J Clin Microbiol Infect Dis Additionally, extensive work has been done with respect to the in suggesting topics and speakers for future conferences/ amongst others. The unique book “Clinical Examination Skills development of guidelines and standard operating procedures We are sure that the programme will be very valuable Master Classes. in The Adult Critically Ill Patient” – to which various members of for the course – administrative, local faculty, international for ESICM members interested in all kind of emergency the group contributed - was published towards the end of 2018 faculty, hosts, administrative issues – to ensure delivery of the medicine. Future activities of the Section will include preparation and has received wide acclaim, as well as being acknowledged course at the most optimal level. As far as we are aware, nothing of more webinars. Possible topics include an update in as filling a void in intensive care medicine. Working Group like this particular course currently exists and there is little Last year, the TEM Section worked on a module on Trauma cardiac arrest management (with special focus on drugs), members were also involved in two initiatives by our Society – doubt that this is a very special and meaningful venture! Management within the EPICC (European Perioperative extracorporeal CPR, burns and acute poisoning. one on fluid administration, and one on antimicrobial resistance Intensive Care Course), which is an interactive course based (in collaboration with ESMID). Both have now been published in We would like to extend our most sincere and gracious thanks on e-learning. Altogether, 19 authors/reviewers from six Kjetil Sunde Claudio Sandroni Intensive Care Med. Various Working Group members are also to ESICM, all the wonderful members, and all those involved in European countries contributed to the module, which was Chair of the TEM Section Deputy Chair of the TEM Section currently involved in two invited reviews for Intensive Care Med – the organisation. We will continue with heightened enthusiasm finally submitted in August 2018 and will soon be online. planned for publication towards the end of 2019. moving forward! The work was edited by Sofy Hamada from Paris, France, together with Kjetil Sunde (Oslo, Norway). Trauma surgeon, Additionally, excellent work by members and the group has Warmest regards Luke Leenen, from Utrecht, Holland, provided helpful inputs also occurred with respect to telemedicine, nursing projects and very best wishes to the revision process and the TEM section would like to and initiatives, the iCertain project, that has had meaningful thank all contributors for their great work. impact in many regions of the world, and involvement in the Ebola outbreaks. Interactions with various organisations, In February, a webinar on Damage Control Resuscitation in including representatives from WHO, World Anaesthesia Trauma was organised, with Sofy Hamada as the presenter Society, Emergency Medicine Special Interest Groups, African and Luke Leenen as the Chair. In addition, the Section will Sepsis Alliance, African Research Collaboration on Sepsis also host a Trauma Masterclass in Brussels from 27-28 and the Surviving Sepsis Campaign have also taken place Mervyn_Mer November 2018, chaired by Jacques Duranteu, with invited and been fruitful. Assistance, involvement and dissemination European trauma experts from France, Belgium, Holland of information for ESICM endorsed projects, such as the and Norway as the faculty.

43 44 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs Activities of the ESICM: Division of Professional Development DPD Communication Commitee Cobatrice NEXT N&AHP ICM & ICMx Journal Treasurer’s Report ACTIVITIES OF THE ESICM: DIVISION Key events 2019 Get more from your Society OF PROFESSIONAL DEVELOPMENT_ ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division of Professional Development

started (see below). Collaboration with other groups within Learning Management System (LMS) upgrade, Academy the DPD and wider ESICM has been strengthened. Gaining Course Format Development (based on ELC requirements) 1. DPD accreditation of the learning material is close to realisation. and Design and Specification of the Certification Solution (once agreed, it will be developed and applied online). There Division of Professional Development ACE Courses Phase-2_ was invaluable support for the development of the “How to” Thirty-six e-Courses, re-named ESICM “ACE courses”, were instructional videos on the “Guide to Authors” course. published by the time of LIVES 2018. The final application for UEMS accreditation of the ACE courses was prepared by the The ELC embarked on a project with the Systematic Review ELC Editorial Board. It will be submitted in June 2019. Group to enable collaboration between SRG members using Academy infrastructure, real time visualisation of systematic Four larger ACE courses were re-edited to conform to the review results aiming towards immortal systematic reviews, new style and with the UEMS requirements. Each course showcasing the work of the SRG and incorporating their will carry 1-3 Credits based on hours of student effort. There output into the learning material of Academy. are more ACE courses in Phase-2 than in Phase-1. Each course is more focused, better mapped to CoBaTrICE and The ELC and the Scientific Committee started a collaboration has EDIC-style assessments to facilitate exam preparation in the planning of an exciting new guided blended teaching by candidates. programme in research methods. This programme will be led by the Scientific Committee and hosted on the Academy. The To ensure consistency of standards moving forward, authors Technical Team will present plans and a schedule for the next are now further supported by a new course prepared by the phase of technical development, support and maintenance at Editorial Board. The “Guide for Authors” allows easy access LIVES 2019. to the author supporting documents, including writing house style and the Editorial Board SOPs, together with 7 “How to” Clinical Training Committee_ videos on topics ranging from writing Intended Learning The Clinical Training Committee (CTC) is primarily responsible outcomes to writing MCQs. for the development of educational courses/Master Classes for the Society. The focus in 2018-19 has been the ESICM ALIVE Course_ Master Classes held at the ESICM Head Office in Brussels. The The Academy embraces the ethos of making high-quality, Master Classes are 2- to 3-day interactive courses delivered evidence-based, learning materials available to our by experts in their field. The instructor to candidate ratio colleagues working in resource-restricted environments. for the courses is deliberately high to maximise interaction The Global Intensive Care (GIC) Working Group has developed between the experts and candidates. a new blended course on Sepsis to be delivered in Low and Middle Income Countries (LMIC). This initiative is supported The courses use a variety of modern education tools, including by the ALIVE Fund and will be hosted on the Academy. This blended learning, problem-based learning, mind-mapping, course has been transcripted on to the Academy and will be flipped classroom technique, fish bone technique, simulation, available for the first workshop in June 2019 in Uganda. and case-based discussions. The courses are all now fully accredited with Continuous Medical Education (CME) points Developing an e-learning environment specifically catering for by the European Union of Medical Specialists (EUMS) and The Division of Professional Development (DPD) comprises: The Examinations Committee has been successfully running the clinical, organisational and IT infrastructure challenges of compliant with MedTech Ethical Business Practice. The EDIC Parts I and II. 806 candidates sat the EDIC Part I exam in LMIC, in close collaboration with colleagues working in those courses benefit from a diverse multi-professional faculty. Autumn 2018 & Spring 2019 (theoretical part) in five different • The Examinations Committee environments, is an exciting initiative. centres in Europe and two large centres outside Europe (India • The e-Learning Committee CM initiative. Master Classes run this year have included: Haemodynamic and Dubai). • The Clinical Training Committee Monitoring, The Art of Trauma Care, Sepsis and Severe • The CoBa Faculty/CoBa Forum ELC Assessments BU_ Infections, Mechanical Ventilation: State of the Art, Life- 332 candidates sat the EDIC Part II exam in Autumn 2018 • The Editorial & Publishing Committee The CTC, EDIC Exams Committee and ELC collaborated on threatening Emergencies in the ICU, and several new courses and Spring 2019. In recognition of the high standards of the an MCQ Writing Workshop for members of the Assessments have been launched: Advanced Bedside Monitoring, Peri- EDIC exam, the number of candidates taking the EDIC I and II BU and the Editorial Board in March 2019. This further operative Intensive Care, and End-of-Life Care. The DPD has had a successful year, with excellent progress exams have remained stable in 2018/2019. made on the ESICM Academy and the establishment of developed knowledge and skills in developing high-quality, EDIC standard assessments for inclusion in ACE courses and The EDIC I and II Preparation Courses continue to be popular the Master Classes. This has been facilitated with strong Finally, at LIVES Berlin, we plan to award the three best engagement from our members, DPD Committee and self-assessment. with courses run in India, Brussels and ESICM Berlin LIVES, candidates for the EDIC Part I and II exams. The winner of with over 300 candidates enrolled in these preparation Scientific Section Chairs and members, and other key each category will receive free entry to LIVES 2020. stakeholders. Technical Developments_ courses this year. The ESICM Academy eLearning ecosystem remains crucially E-Learning Committee_ dependent on the underpinning technical development. The multiple-choice question database for the EDIC I In response to our members’ feedback from the educational The e-Learning committee (ELC) once more had a busy and This included content delivery advances, user experience Preparation Course continues to expand and be refined. We needs assessment undertaken in 2018, we have focused on productive year. The new work stream focused Business improvements, servers and applications upgrade and now have over 700 high-quality multiple-choice questions making ESICM educational activities accessible, affordable Units (BUs) enabled Phase-1 development to gain further improvements to satisfy the needs of Academy users and and mock exams on the ESICM Academy to help support and relevant. momentum and this is now approaching completion well improve the User Experience and eLearning Toolbox. candidates taking the EDIC exam. ahead of schedule. In the last 12 months, we have offered 26 educational grants Some specific developments include: Single Sign On (SSO) The European Diploma in advanced critical care for candidates from Low and Middle-Income Countries and The Editorial BU, using new streamlined editorial processes, and Identity Management for the ESICM Site (all ESICM Echocardiography (EDEC) is now well-established, with a trainee intensivists to attend our Master Classes in Brussels. as well as strengthened collaboration with sections, authors, members can now use one account for all services and competency-based curriculum, logbook, webinar series and We have worked to diversify our portfolio of Master Classes reviewers, and sub-editors produced a “tour-de-force”. The enroll themselves into ACE Courses), Mobile App for Android final exam for those candidates who wish to extend their and on-line educational material, focusing on the use of ACE (Academy Critical care Education) courses are enabled and Apple published for Moodle version 3.4. The updating critical care echocardiography competencies to an advanced state-of-the-art educational methods, assessment tools and by constant development of self-assessments and Scenario- to Moodle 3.6 is also under way. It also includes the new level. There have been 146 candidates who have registered for technology. Based Assessments by the Assessment BU and supported Academy Theme development (based on ELC requirements), the EDEC since 2016. by the Curriculum Mapping BU. Phase-2 development has The Examinations Committee_ Academy Servers (Directory Service + SSO) Upgrade, Academy

47 48 ESICM ANNUAL REPORT 2018-2019 Activities of the ESICM: Division of Professional Development 2. Communication Committee ESICM prides itself on the vast informational resources it is able to offer members and non-members online.

Communication plays an essential role in the Society’s The Society’s Social Media (SoMe) Task Force will be an transfer of information both to and from our intensive care instrumental part of our communications during LIVES and community, whether to announce important news, results will be moderating many of the sessions using Twitter, and of clinical research, the publication of reviews, guidelines, interacting with presenters, interviewing many of our keynote recorded interviews, online learning, live webinars, or and Hot Topic speakers, as well as those presenting and simply to raise our public profile. publishing ground-breaking clinical research. Without the efforts of the members of the Communication Both the website and social media streams act as a daily Committee, EJRC and SoMe Task Force, we would not be able portal for intensive care and related medical professionals to to provide our members with such a vast wealth of resources. access both educational and scientific content. Thank you to all those who helped us to achieve so much this Our social media outreach is expanding and we currently past year. have 25,311 followers on Facebook, more than 18,600 on Twitter, 8,243 on LinkedIn and 2,200 members of our LinkedIn discussion group. Jacques Duranteau Chair of the Communication We will be launching at LIVES, a new webpage on our website Committee dedicated to patients and their families. This will provide practical guidance and information to help them understand how an intensive care team functions and what they can Finally, we have launched a POCUS initiative (Point of Care Stylianides (Technical Editor for the ESICM Academy), Dr expect to find in ICU. This webpage will evolve over time, Ultrasound) this year. The POCUS Working Group has been Mo Al-Haddad (Executive Editor for the ESICM Academy), but is a very important and effective means to communicate created with the aim to develop learning resources and agree Dr Franki Duška (Chair of the Clinical Training Committee), externally with our patients. on core competencies for basic critical care ultrasound. The Melania Istrate (Learning and Development Project Lead), Dr group’s vision is to work towards a unified curriculum and Christian Sitzwohl (Chair of the EDIC Committee), Dr Ignacio The Journal Review Club (EJRC) continues to provide regular, accreditation pathway for basic critical care ultrasound. Martin-Loeches (Chair of the CoBaFaulty) and Dominique De Boom (EDIC & EDEC Coordinator). Without their dedication up-to-date article reviews of wide-ranging research, selected The CoBafaculty and CoBaForum_ and commitment to the educational activities of the Society, from papers published in our official journal, which we then The task of the CoBaFaculty is to maintain, promote we would not be here today. share with our members on behalf of the ICM journal. and develop the CoBaTrICE programme on behalf of the Our thematic e-newsletters include information about ESICM, and to ensure networking and coordination with Finally, I would like to welcome our new Chair of the Division membership, elections, webinars, Master Classes and conferences. Because of the numerous activities carried out other stakeholders. The CoBaTrICE competencies have of Professional Development, Dr Franki Duška. Franki and throughout the year, the ESICM President has decided that been updated to include new competencies, including I have worked on a number of educational projects for the our members should also receive an update of the Society’s echocardiography, ultrasound, ECMO and rapid response Society over the years and, under his excellent leadership, I news and collaborations with other medical societies. For teams, and have been published as COBaTrICE 2.0. The believe the DPD will continue to grow and provide high-quality this purpose, a new e-newsletter, “The President’s Voice” was updated CoBaTrICE syllabus and relevant documents can be education and training that is key to the future of the Society. created, and this is now part of our written communication accessed on the ESICM website. and circulated on a quarterly basis. CoBaFaculty (the CoBaTrICE Steering Committee) and One of the Society’s major achievements was in June of this CoBaForum (the CoBaTrICE network), which includes Pascale Gruber year, when the 2018 Journal Citation Reports (JCR) were representatives from each European country, continue to be a Chair Division of Professional released. ICM’s Impact Factor rose once more, to 18.967, vital platform for exchanging ideas, promoting and enhancing Development ranking it second among the 33 medical journals in the the discipline of intensive care medicine in Europe. critical care category and the most highly-ranked journal in this category entirely devoted to critical care. The COBaFaculty have been working closely on the ESICM Our thanks go to the talented authors who submit their Academy to ensure that the educational content is mapped research to the journal, our committed reviewers and editorial closely against the COBaTrICE competencies. In addition, team under the leadership of Giuseppe Citerio, and former the COBaFaculty has undertaken a survey, with the help of Editor-in-Chief, Elie Azoulay. national representatives and national training organisations, to better understand the current status of COBaTrICE and Our second successful journal, ICM Experimental, is waiting competency-based training in intensive care in Europe. for its impact factor, which should be released early next year. The growing number of submissions and citations over This is my last year in office as Chair of the Division of the past year is evidence of the quality of its articles and the Professional Development and I would like to take the reputation of the journal, and we have the editorial board to opportunity to thank my colleagues in the DPD Committee and thank for the journal’s overall development. ESICM office, who have worked tirelessly to promote education ICMx has become the platform, not only for the ESICM LIVES and training for the Society. I would like to particularly thank abstracts, but also the INSPIRES symposia. Dr Kobus Preller (Chair of the E-learning Committee), Estelle Pasquier (Project Manager for the ESICM Academy), Nikolas

49 50 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs NEXT_ Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 Get more from your Society ESICM ANNUAL REPORT 2018-2019 NEXT

NEXT- Report 2018-2019_ NEXT Committee and a founder member of the Committee THEMATIC FELLOWSHIPS_ Committee are currently developing a new educational track when it was established, Björn served in the Congress The NEXT Fellowships have grown to become one of the most for research that will be launched in 2020. Committee, chaired NEXT, was an ex-officio member of the visible and popular activities of the NEXT Committee. After 9 In 2018 and 2019, NEXT remains a prosperous part of the Executive Committee, the Council and became Chair of the Fellowships, more than 400 ‘NEXTers’ from the Society have GRANTS AND AWARDS_ European Society of Intensive Care Medicine that aims to Diversity Task Force. participated and used the opportunity to gain a unique work We continue to support the work of young investigators aiming represent young members of the Society, and make ESICM an experience for one week in a centre of excellence of their choice. to develop a career in academic research. The NEXT Start- The incoming Chair of the Committee, and Björn’s successor, attractive place for trainees and young specialists. Since its Up Grant is dedicated exclusively to young researchers in the is Stefan Schaller from Berlin, Germany. In the upcoming year, All trainees and young specialist ESICM members from field of Intensive Care Medicine. Together with the Research introduction at LIVES 2012 in Lisbon, a lot has happened, and the Committee will be steered by Stefan Schaller (Chair) and across Europe are invited to apply to participate in these 5-day Committee, NEXT establishes its commitment and will again we are now moving towards the third term of the Committee Laura Galarza (Deputy Chair). The new Chairs will ensure that programmes. award one exceptional researcher, supporting his or her work that also goes along with a change in the leadership. the Committee remains the voice of the younger members for the next two years. of the ESICM, and to help shape the future of intensive care The reviewers of the applications underwent an Implicit Bias The NEXT Committee continues to drive innovation and medicine. Test regarding gender and race (https://implicit.harvard.edu/ EUROPEAN JOURNAL REVIEW CLUB_ creativity, and meet the dynamic needs of a modern medical implicit/). NEXT has been an active part of the Communication Committee Society. We are proud to be one of the most active parts in the SUMMER SCHOOL_ since 2013, helping represent the Society in several media Society, representing a significant portion of ESICM members. The Brussels Summer School is the heart of the NEXT Committee’s The evaluation of the forms was completely anonymised and formats, including websites and social media. NEXT members Aside from enabling virtual and real mobility across Europe, activities, where the NEXT officers meet for two days to shape the done in an aspect-oriented manner instead of a candidate- started writing short reviews on articles published in major NEXT creates a congress track that is particularly interesting future of the young generation. The Summer School has been held based approach. The scientific results and the selectivity of the international journals. for young specialists and trainees, awards research grants, for the third year in Brussels and the NEXT Committee came up with new reviewing strategy will be shared in an abstract at LIVES and is involved in nearly all facets of the ESICM. In the past several interesting new ideas and programmes aiming at education, 2019. The group of reviewers has grown exponentially during last year, NEXT has conducted a second round of the Mentoring research and clinical training. 5 years, and now has 65 active members from different Programme, a new Hemodynamic Fellowship, a scientific Research sections of the Society. It is interesting to note that 35 of contribution to fair and equal evaluation of candidates in the Mobility these members are ICU trainees or young specialists. Three light of the Diversity-campaign, and a brand-new service for RESEARCH PG-COURSE BY NEXT_ ‘NEXTers’ contribute to the coordination of the Journal Club the congress - to share a room or couch during the annual e-MOVE_ What started as a minor class for members interested in workload, guaranteeing a regular production of reviews and congress. The e-MOVE project brings to life the futuristic idea of an research has become a leading ESICM course. Outstanding avoiding any overlap of topics and subjects. scientists, clinical researchers, and journal editors shared Organisational electronic platform, providing information about different European countries for intensivists on the move. The platform their expertise during LIVES 2018 in Paris. The ESICM NEXT Congress was launched three years ago, and since then it has been Research PG course covered topics from funding to scientific LEADERSHIP_ writing. The course has become increasingly popular, not only constantly improved and updated to implement new locations PG COURSES_ The NEXT Chair, Björn Weiss (Berlin, Germany), steps down in among junior members, but also among more experienced and job-market opportunities. In the future, e-MOVE will serve After a great success of the ECMO PG-course at LIVES 2018, October 2019 after two successful periods. After 7 years in the members of the Society. Therefore, NEXT and the Research as a dynamic tool to support long-term mobility. the NEXT Committee decided to continue with the strategy

53 54 ESICM ANNUAL REPORT 2018-2019 NEXT

to make the annual Fellowship-topic also the topic of the round and will be reported in the Society’s Diversity report. Congress PG course. In 2019, this will be hemodynamic management, together with the CD-section, and NEXT is very much looking forward to this fruitful collaboration within the NEXT-Mentoring Society. MENTORING V 2.0 All possible matches for the 2.0 Mentoring Programme were NEXT LOUNGE_ established and we are proud to announce a 30 % increase The NEXT Lounge is the meeting point for trainees and young compared to the V 1.0. As in the 1.0 programme, NEXT aims at specialists at the congress. The special programme covering a thorough evaluation and is already looking for a continuation new topics and new formats was a congress highlight of the programme with a V 3.0 that aims at an increased during the last years, and will certainly continue to attract structure to ensure success for all participants. interested members. Part of the NEXT Lounge programme is also the Young Lecturer Award, where talented candidates demonstrate their lecture skills, and are evaluated by an international jury. The best candidate is awarded with the “Young Lecturer Award”, which guarantees a faculty place at next year’s congress. Björn Weiss ICaBed4U_ Chair, NEXT Committee In 2018, NEXT started the brand-new service, ‘ICaBed4U’. NEXT has created a Facebook group called ‘ICaBEd4U’, where French NEXT members, French trainee members of SFAR (Société Française d’Anesthésie et de Réanimation) and SRLF (Société de Reanimation de Langue Française), living in Paris or nearby, can offer their accommodation to NEXT members from outside Paris for free during the congress.

The service aims at reducing financial barriers of young members travelling to the congress. ESICM incentivised the participation with free entrances to LIVES for the first 20 “matches”. The programme will be evaluated after the second

55 56 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs N&AHP_ Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 Get more from your Society ESICM ANNUAL REPORT 2018-2019 N&AHP

It has been another busy reporting period for the Nursing & care to our patients. learning and education delivery by ESICM reflects how care AHP Committee which continues to be very active in promoting The web-based Infection course last year- supported is delivered in clinical practice as teams. the profile of Intensive Care nursing and AHP within the Society. The N&AHP app, ‘AppIC’, launched at LIVES Vienna, under by Bayer – delivered an on-line course with significant This will be the last year of my mandate as ESICM N&AHP the expert guidance of Anne-Sophie Debue and the AppIC resources available at a time to suit individual and shift To be launched in Berlin, we have developed a Patient and Chair. The Committee I have been honoured to lead continues team, continues to grow. We are seeing increasing numbers requirements. Successful completion of the course and Family webpage, to be hosted by ESICM. This is a new route to enjoy a proactive membership of nurses, physiotherapists of users across the entire multi-professional team. ESIMC assessment awards led to free entrance to LIVES 2018 for 22 for ESICM, in line with other Societies, in provision of Patient and other AHPs, including clinical psychology and dietetics, LIVES in Paris 2018 saw APPIC become available in five successful delegates. and family information and engagement. This draft page will many of whom participate across all levels of the Society. languages, with additional clinical content. The future of be a foundation and a conduit for information for patients AppIC will see more language options, the use of videos, and The course proved very popular with our group and building and families on the role of ESICM specifically in relation to The N&AHP Committee consists of: of course more evidence-based content. The intention in the on this success and making changes based in feedback, research. future is for AppIC to become part of the Academy. we have this year successfully delivered a Critical Care It will also explain the impacts and important results • Carole Boulanger, N&AHP Chair Rehabilitation course, with the support of Melania Istrate’s from projects in lay language and what it means to join • Johannes Mellinghoff [Congress Committee RESEARCH educational expertise using a blended learning methodology clinical research as an ICU patient. Patient information representative] The DecubICUs project - an epidemiologic point-prevalence comprising: will be provided via the ICU Steps webpage, as we work in • Stijn Blot, Research Committee study on pressure ulcers in ICUs, accepted as an ESICM • Distance learning: partnership with this long-standing patient group, providing • Anne Sophie Debue, ICU app development Trials Group Study - has completed data collation with a - Six webinars information in 17 different languages. • Silvia Calvino –Gunther, ESICM’s Journal Review Club publication planned shortly. - Online support classroom on ESICM Academy • Mireia Ilaurado Serra, the N&AHP representative for - Forum communication N&AHP continue to enjoy significant support from the ESICM e-learning/development. N&AHP INACTIC- International Nursing Advanced • Face to face: workshop on practical application of office and Executive Committee. I am pleased to report Competency based training for Intensive Care. principles, to be held during LIVES 2019 (Berlin, Germany) another significant year of successful and increasing N&AHP • Evaluation system: activity within the Society. As I step down and hand over to Projects & activities of the past year_ Working with a secured Erasmus Plus grant worth of over - Pre-testing Johannes Mellinghoff as the incoming Chair I would like to €142,000 continues to progress to develop an international set - Continuous evaluation (short quizzes after each thank my Committee members for all their unfailing support CONGRESS of competencies, with underpinning curriculum and resources, webinar) and hard work, the EC and all at the ESCIM Brussels office The ESICM LIVES congress in Paris continued our year- for advanced level intensive care nurses. This study is on target - Final evaluation in Berlin for their assistance, expertise and commitment, without on-year increase in active and increasingly collaborative and will liaise closely with the COBAtrICE group. whom we would not have been able to see N&AHP hold an participation across all aspects of the programme. The We had a total of 615 registrants for this course, from a increasing presence within the Society. N&AHP Abstract Award Programme 2018 saw an increase, We are pleased to report that the changes to membership wide range of countries: 544 NAHP. 71 MD undertook the not only in the number of abstracts submitted and awarded, fees and structure for N&AHPS has increased our course, which is a reflection of the trend towards shared but also in submissions from AHPs, including clinical membership numbers and consequentially engagement. learning and that the topic was timely and appropriate for psychology and speech and language therapists. Our current membership numbers are 290, an increase of clinical practice across the team. 24 Winners in Continuous 25% on last year. Evaluation/ Average grade: 77.46 (out of 100) will attend Increased sessions of all types were delivered by N&AHP LIVES with support for travel and accommodation. This is a throughout the congress. This trend continues for ESICM As part of the Diversity Group we have seen significant considerable benefit for N&AHP members. This format for LIVES in Berlin, with live debates, thematic sessions, alterations to the Standard Operating Procedures to ensure educational delivery has proved popular and will form part of research and networking, workshops on scientific writing, equality for our members. the educational strategy for N&AHP going forwards. critical care rehabilitation, a topical symposium supported Carole Boulanger Chair, by Nestlé, plus clinical challenges. N&AHP IN THE JOURNAL REVIEW CLUB (JRC) We have been increasing N&AHP involvement in Master N&AHP Committee N&AHP members are continuing to actively contribute to Classes held at the ESICM offices, with secured faculty N&AHP have been pleased to embrace the changing the JRC, led by N&AHP Committee member, Silvia Calvino- places for N&AHP experts for all courses and reduced fees methodology of LIVES with increased numbers of multi- Gunther. for N&AHP wishing to attend. The development of shared professional sessions, which is of course how we deliver

59 60 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs ICM & ICMx JOURNALS _ Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 Get more from your Society 8 550 8 000

7 071

6 666 6 381

1 172

5 554 1 029 5 284 982 MEMBERS

801 19 000 734 16 000

531 EDIC CANDIDATES ESICM ANNUAL REPORT 2018-2019 ICM Journal 4 100 15.008

0 0 0 RESEARCH PATIENTS ENROLLED 12.015 10.125

ICM IMPACT FACTOR_ 7.214

5.544 5.399 5.258 4.996

2010 2011 2012 2013 2014 2015 2016 2017

ICM ANNUAL REPORT The methodology and the content of original articles, last few months the number of immediate rejections has reviewers with European CME Credits (ECMEC®s by the review articles, systematic reviews, and meta-analyses decreased because we are facing an increase in the quality European Accreditation Council for Continuing Medical ICM’s Impact Factor has reached 18.967! ICM now ranks will be evaluated closely for the application of high-level of the submitted papers, i.e. increased attractiveness of the Education) for their participation in reviewing scientific and 2nd among the medical journals in the Critical Care methodological standards. ICM will require authors to journal. educational material. category and is the most highly ranked journal in this fulfill the appropriate Equator (Enhancing the QUAlity and Thanks to Springer, we are also very fast in the interval from category entirely devoted to critical care. We can also Transparency Of health Research) network checklist and to More than 7,100 authors published at least one article in ICM acceptance to the online publication (15 days), with a final confirm that we are the fastest publication media in the respect the requirements of the International Committee over the last five years. This is really amazing and for this PDF immediately indexed in PubMed. critical care track. of Medical Journal Editors (ICMJE). ICM will also remain a we thank our authors! The speedy review process relies on forum for controversial issues, presenting different opinions high-quality reviewers, with the more active ones included The changeover is not only for the Editor-in-Chief. Many of This year, ICM experienced a changeover of the Editor-in- from experts. in a Board of Reviewers. Since 2017, ICM has rewarded its our esteemed editors are leaving the Board because their Chief. Elie Azoulay left the journal after six successful years, Moreover, we will also be an education resource for the during which the impact factor and all the other metrics newer generations, having some review articles, ‘What’s were boosted. Giuseppe Citerio, from the University of New’, educational pieces and images. For images, we are Milano Bicocca, and previous Deputy Editor, become the new expanding the section to include short pieces with a video Editor-in-Chief. attached. We are also starting to accept short research MORE THAN letters, a forum for communicating early results, proof of 2000 Over the last six years, the journal has greatly improved its concepts, or interesting data taken from a small cohort. They Submissions/year profile and metrics, and now it is second in the category are increasingly published and appreciated. 2 MILLION of intensive care journals, and the number one dealing 42 COUNTRIES DOWNLOADS only with intensive care topics. The readership, if we only ICM will maintain its tradition of thematic issues and the including consider the growing number of downloads, has expanded Spring 2019 issue focused on organ donation and transplants. 19 non-European it a lot. The article usage, accurately measured by Counting countries = Online Usage of NeTworked Electronic Resources, will We do not only focus on science and medicine. In the section HIGHEST surpass 2 million article downloads this year. This is partially ‘From the Inside’, ICM publishes poetry, personal stories, due to the possibility of accessing all the articles - even if thoughts and memories, sounding boards, obituaries, or x4 not classically - through Open Access, with Springer Nature other qualitative materials that authors wish to share with QUALITY Less rejected without review SharedIt, the content-sharing initiative. colleagues. (from 60% to 40%) IN 5 YEARS The editorial line defined in the last few years by the Editorial Speed of the review and publication process will remain Board will be refined, but the principles in place will remain. our hallmark for all articles, not only for fast track ones. ICM is, and will remain, a critical care journal that publishes Manuscripts providing new findings from large interventional clinical studies covering all aspects of critical care. The studies can still be submitted as a 7-day profile publication, Acceptance journal publishes high-quality original papers that include allowing important data to be rapidly made available in the Rate 4 DEPUTIES DECISIONS critically ill patients with clear messages for all physicians public domain. The median interval from submission to 12 EDITORS who manage critical care patients. first decision, including papers immediately rejected and IN 4,4 DAYS manuscripts sent out for review, is 6 days, even if in the 500 ACTIVE 6% REVIEWERS OVERALL 63 64 ESICM ANNUAL REPORT 2018-2019

mandate has ended (Jean-François Timsit, Matteo Bassetti, new generations’ needs and on developing new social media The last point I would like to touch upon is the Impact Factor. Senior Deputy Editor, I had the privilege of having daily 10 Number of submissions per year Dominique Benoit, J. Randall Curtis, Gordon Doig, Margaret strategies. ‘Visual abstracts’ will become available for most2000 Robert F. Kennedy said, “Only those who dare to fail greatly, interaction with him for six years. I learned a lot from him Herridge, Laurent Papazian, Mark Peters, Daniel Talmor, of the original articles and will be part of our communication. can ever achieve greatly”. Our IF has constantly increased - his huge commitment, his clear vision for the journal, the Antoine Vieillard-Baron). I would like to thank all of them for A brand new ICM portal, hosted by the ESICM website, over the last six years. Nevertheless, the growth cannot be continuous striving for improvements, the unbiased approach 8 helping the journal to become what it is now, and I am sure was launched in 2019. A new series, ‘Less is more’ and a exponential forever. We will keep an eye on it, but this is to complex decisions, the attention to detail, the respect for that we will be able to count on their support again in the special issue on organ donation and transplant have been1500 not our main driver. The main driver is the readership and authors and readership - the list could continue! Thank you, future. New Editors are joining the Board and the challenge developed. Many other slight changes will appear in the next the service we are providing to the ICM community and Elie. I know that the mission is almost impossible…but, just in the next6 few months will be to develop again an “orchestra few months. So, follow us and keep an eye out for them. ESICM members. This could be read as downloads from the as you did, we want to try and succeed in the footsteps that spirit”, with new musicians under the direction of a new website and with other metrics. Last, but not least, thanks to you traced by your actions. Quoting Steve Jobs “Stay Hungry. 1000 orchestra director. ESICM’s support, the journal, while remaining independent, Stay Foolish”, but also improve ICM. 4 is defining its editorial line. The incoming editors will increase diversity, covering different sub-specialities, geographic provenience, and heterogenous 500 Before concluding, I wish to thank Elie Azoulay. The current backgrounds.Impact factor and immediacy index 2 I am happy to have a talented team working ICM is the result of thousands of hours of his work. When Giuseppe CITERIO with me. The three Deputy Editors will be Anders Perner, Editor-in-Chief Miet Schetz and Samir Jaber. The Associated Editors’ team ICM Journal includes0 Alain Combes, Anders Aneman, Audrey De Jong, 0 Claudio Sandroni,2003 2004Garyphallia2005 Poulakou,2006 2007Geert Meyfroidt,2008 2009 2010 2011 2012 2013 2014 2015* 2016* Ignacio Martin-Loeches, Manu Shankar Hari, Michael Darmon, Morten Hylander Moller, Niall SubmissionsFerguson, Otavio Impact factor Immediacy Index Ranzani, Sharon Einav, Thomas Bein, Yaseen Arabi and Sheila Myatra, as guest editor 2019. Eleven of the sixteen are new entries, selected from the reviewers that supported the journal the most in the last few years, and for their scientific profile.

Besides focusing on continuity, we are attempting further improvements. The most visible one will be the support of an illustrator to provide a more uniform style for most of our figures. I hope you will ICM EXPERIMENTAL (ICMX), THE PLATFORM FOR EUROPEAN published have been frequently cited, not only by journals appreciate this. A team of junior editors will focus on the RESEARCHERS PRESENTING BASIC, TRANSLATIONAL AND within critical care, but from all fields of medicine. EXPERIMENTAL STUDIES The journal is still waiting for its first Impact Factor, which ICMx publishes articles from in vitro to in vivo and ex vivo will hopefully be released early in 2020. In this context, the investigations in both laboratory animals and patients, number of citations is crucial, which is two to three fold thus mirroring all facets of critical illness. higher than that of the yearly publications. The number of 50 80% citations again mirrors the high quality of the articles as well 45 Over six years, until the end of 2018, the journal was under as the dedicated work of the Senior-Editor Board. 70% the editorship of Prof. Mervyn Singer. In January 2019, I took 40 over this challenging task, and I have to thank Mervyn for his 60% Acceptance rate 35 accomplishments as the journal’s pioneer. Submissions have been steadily growing over the last 50% 30 number of years, with more than 100 expected by the end of this year. A review article series on “Gaseous Mediators” has 25 40% Peter Radermacher been launched – with the first manuscripts most recently Editor-in-Chief ICMx 20 30% being submitted - and ICMx has become the platform, not only for the ESICM LIVES abstracts, but also the INSPIRES 15 20% symposia. 10 We are currently targeting approximately 50 articles per year, but clearly, quality prevails over numbers and, hence, 5 10% by September 2019, the rejection rate has doubled, reaching 0 0 54 %. Simultaneously, time to first decision has been halved. 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015* 2016* This was of course only possible due to the hard work of Time (days) to first decision and source/non source items ratio the members of the Senior-Editor Board, which covers the Acceptance rate Time to first decision % of source items whole range of intensive care research. As a result, articles

65 66 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 Get more from your Society TREASURER’S REPORT_ ESICM ANNUAL REPORT 2018-2019 Tresurer’s Report

Dear Colleagues,

Members of the Society, this is my annual Treasurer’s report for the business year 2017/2018.

The European Society of Intensive Care Medicine is a professional, non-profit organisation and its bylaws constitute the legal basis for the operation of the organisation.

ESICM is based in Brussels, Belgium, and complies with the legal rules of the Belgian Law of Associations with Number BE0467.040.944 in the Belgian Register of Associations. The organisation’s accounts comply with the Belgian fiscal provisions and are externally audited by Francesco Bandinelli on an annual basis.

Accounting and tax advice services are provided by our professional consultant firm, Belgian VAT Desk, supported by our CEO in the Secretariat. We follow a very rigorous process in establishing and monitoring our annual budgets and when considering the regulations of the non-profit law in our investments and financial policies.

In my position as Treasurer, my key interest is to carefully monitor the performances of our investment accounts to safeguard the organisation in times of financial crisis. Together with my colleagues in the Council, the aim is to make the right strategic decisions to focus on a sustainable and secure future for the Society and to decide how far we can go in developing activities to deliver our mission and aims.

This year we opened a new training centre in Brussels for the ESICM master classes throughout the year It seems to be a success with more than 230 candidates using the facilities this year and I am sure many more in 2019.

The following report gives a fair and true view of the assets and liabilities and the financial position of ESICM and I invite you to read my further explanations of the financial statement of the fiscal year 2017 below.

Overall, I am pleased to say that the financial position of the Society is in extremely good health, and currently stands at 6,092,652 Euros.

One of the biggest risks to the Society is the annual congress. We continue to ensure that we monitor the use of our funds by keeping to a strict policy on areas such as travel expenses and ensure we spend sensibly. As a result, we have been able to invest more, year on year, into research, and in addition we have agreed to invest in developing a new e-learning platform.

Carl Waldmann ESICM Treasurer

69 70 ESICM ANNUAL REPORT 2018-2019 Tresurer’s Report

ESICM Balance sheet 2016_ EXPENSES Grants/awards/support/research Every year, ESICM offers a number of research awards worth a total of € 355,000. Assets K Equity and liabilities K A. Fixed assets A. Net equity of Association We are content to be in a strong position to spend such a generous amount of money to actively support ESICM members in I. Tangible assets I. Equity of Association 5.819 their educational endeavors across Europe. This financial and activity-driven support fulfils our overall mission and aims to Land & Buildings 1.939 II. Balance sheet profit/Loss further improve standards in Intensive Care Medicine research in Europe for the greater good. Tools, furniture and fixtures 71 Profit of the year 165

II. Financial assets 5.984 We have also invested for six years: € 1,410,000 for Awards, € 250,000 for Trials Group Awards, € 150,000 for the ECRF, and € 450,000 for the Surviving Sepsis Campaign. 2.010

B. Current assets B. Provisions I. Inventories I. Provision for liabilities & charges 79 Congress Costs 600 II. Accounts receivables Trade receivables 118 C. Liabilities 550 Credit Institution - Other receivables and assets - 218 Trade payables 1.145 500 III. Cash on hands and in banks Advances received on orders in progress - 450 Income Taxes 200 Short-term investments 6.326 Taxes, salaries and social security Cash at bank and in hand 549 400 5.984 350 Research 6.775 300 250 C. Deferred charges and Accrued Income - 70 D. Deferred charges and Accrued Income 1.307 SSC Total assets 8.715 Total equity and liabilities 8.715 200 150 Trials Group 100 50 Explanation of the financial statement 2017_ Awards 0 2014 2015 2016 GROUP OUTCOME

In 2017, ESICM generated a total revenue of € 6,708,462.90. Total expenses amounted to € 6,723 ,675.11 which results in a CONGRESS COSTS negative outcome of -€ 15,212.21 for the fiscal year 2017. Costs attributed are rental costs for the congress and course venues, technical/network/IT, overall venue set up, with in- creased interactive provision, innovation from the Scientific Committee and other facility costs, which represent 20.02% of the In general, the overall development of ESICM’s equity is stable, and despite the challenging economic and regulatory environ- total expenditure. ment, the Society is in a healthy position and is able to deliver all the objectivesRevenue agreed in 2 0the16 ESICM Strategic Plan. Social events and Faculty costs (travel, hotel) represent 7.49%, while 2.88% of the costs were spent on onsite staff and hos- tesses (including travel and accommodation). Services delivered by the contracted PCO (KIT) represent 2.93% of the total costs. This also includes the fees for sales and 58.3% Congress delivery of the exhibition & sponsoring management, fees for registration services and abstract fees. MAIN REVENUE 2017 (IN EURO) 19.3% Affiliation fee ESICM ADMINISTRATION COSTS Congress € 3.890,0000 11% Education The ESICM Secretariat looks after the everyday activities of ESICM, including all the business related to ESICM services, such as support of the Boards and Committees and follow up, organising LIVES, alongside the PCO, and developing the educational € programme, including the online platform. Besides this cost factor, all expenses (rental fees, annual running costs, etc.) for Membership 1.225,0000 10.2% Editorial the ESICM office building are included. Editorial € 636,0000 1.1% Research BOARDS & COMMITTEES 0.0% Life Priority Education € 783,0000 4.21% is expenditure to support our volunteer work in ESICM. Board and Committee meeting expenses include travel, Research € 50,0000 accommodation and catering costs for the respective meetings of governing Boards (Council, Executive Committee, General Assembly and National Societies) and Operating Committees (Scientific, Education, National Societies) throughout the year.

REVENUE

ESICM’s main sources of revenue are composed of the congress registration fees and sponsorship. Other reve- nue streams include income from our courses, exams and other revenue, such as the ICM Journal.

71 72 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 Get more from your Society KEY EVENTS 2019_ ESICM EVENTS 2020

MASTER CLASSES EVENTS BRUSSELS 2 0 20

JAN Sepsis ad Severe Ifections 31 JAN-2 FEB CRITICAL CARE FEB DATATHON Haemodynamic Monitoring MILAN

MAR

6-8 FEB APR European Perioperative Intensive LIVES Care Curriculum (EPICC) PHYSIOLOGY

MAY PRAGUE Renal Replacement Therapy in ICU State of the Art JUN 14-16 MAY Mechanical Ventilation LIVES JUL FORUM DUBLIN

AUG

2020 SEP LIVES EUROASIA

OCT

10-14 OCT NOV The Art of Trauma Care LIVES 2020 Endorsed by DEC Point of Care Ultrasound (POCUS) MADRID ESICM ANNUAL REPORT 2018-2019 Key events 2019

FROM THE BUG TO ORGAN FAILURE Jointly organised with

78 Introduction by the President & President-Elect About ESICM Activities of the ESICM: Division Of Scientific Affairs Activities of the ESICM: Division of Professional Development NEXT N&AHP ICM & ICMx Journal Treasurer’s Report Key events 2019 Get more from your Society GET MORE FROM YOUR SOCIETY_ ESICM ANNUAL REPORT 2018-2019 Get more from your Society Join us_

For all inquiries, please contact:

ESICM CEO Joël Alexandre Tel: +32 (0)2 559 03 50 [email protected]

For research specific questions (collaboration on ESICM trials, surveys and clinical research programmes) please contact:

Guy François Tel: +32 (0)2 559 03 53 guy.franç[email protected]

For all enquiries about the EDIC & EDEC Diplomas and webinars, please contact:

Dominique De Boom Tel: +32(0)2 559 03 74 [email protected]

For information about masterclasses, educational programmes and pathways, accreditation and nurses and allied health professionals, please contact:

Melania Istrate Tel.32 (0) 2 559 03 58 [email protected]

www.esicm.org

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